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- Title
Reasons for High Emergency Department Use Among Patients With Common Mental Disorders or Substance-Related Disorders.
- Authors
DION, KARINE-MICHÈLE; FERLAND, FRANCINE; FARAND, LAMBERT; GAUVIN, LISE; FLEURY, MARIE-JOSÉE
- 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.
- Subjects
QUEBEC (Province); SUBSTANCE abuse treatment; MENTAL illness treatment; HEALTH services accessibility; RESEARCH funding; OUTPATIENT services in hospitals; PROFESSIONAL practice; CONTENT analysis; INTERVIEWING; HOSPITAL emergency services; DESCRIPTIVE statistics; CONTINUUM of care; RESEARCH methodology; COMORBIDITY; PEOPLE with disabilities
- Publication
Healthcare Policy, 2024, Vol 19, Issue 4, p55
- ISSN
1715-6572
- Publication type
Article
- DOI
10.12927/hcpol.2024.27333