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Reasons for High Emergency Department Use Among Patients With Common Mental Disorders or Substance-Related Disorders.
Dion, Karine-MichÈle; Ferland, Francine; Farand, Lambert; Gauvin, Lise; Fleury, Marie-JosÉe.
Afiliación
  • Dion KM; Researcher, Department of Social and Preventive Medicine, School of Public Health, University of Montreal, Research Assistant, Douglas Mental Health University Institute Research Centre, Montreal, QC.
  • Ferland F; Researcher, School of Social Work, Laval University, Addiction Rehabilitation Centre, National Capital University Integrated Health and Social Services Centre, Quebec City, QC.
  • Farand L; Honorary Professor, Department of Health Administration, Policy and Evaluation, School of Public Health, University of Montreal, Montreal, QC.
  • Gauvin L; Professor, Department of Social and Preventive Medicine, School of Public Health, University of Montreal, Theme Leader, Health Innovation and Evaluation Hub, University of Montreal Hospital Research Centre, Montreal, QC.
  • Fleury MJ; Professor, Department of Psychiatry, Douglas Research Centre, McGill University, Montreal, QC.
Healthc Policy ; 19(4): 55-69, 2024 Aug.
Article en En | MEDLINE | ID: mdl-39229663
ABSTRACT

Aims:

This study examined the reasons for high emergency department (ED) use among patients with common mental disorders (MDs), substance-related disorders (SRDs) or co-occurring MDs-SRDs.

Method:

Following content analysis, 42 high ED users (three-plus visits/year) recruited in two Quebec EDs were interviewed.

Results:

The reasons included barriers to outpatient care, patient disabilities and professional practices. Patients with SRDs trust outpatient services less, those with MDs had important unmet needs and those with MDs-SRDs faced care coordination issues.

Conclusion:

Improvements such as ED use monitoring, consolidating MD-SRD practices and continuous training are needed in EDs and outpatient services to enhance access and continuity of care.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos Relacionados con Sustancias / Servicio de Urgencia en Hospital / Trastornos Mentales Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Healthc Policy Año: 2024 Tipo del documento: Article Pais de publicación: Canadá
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos Relacionados con Sustancias / Servicio de Urgencia en Hospital / Trastornos Mentales Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Healthc Policy Año: 2024 Tipo del documento: Article Pais de publicación: Canadá