Mental Illness and Hospitalization for Ambulatory Care Sensitive Medical Conditions
Datos Bibliográficos
| ID | 9104460 |
|---|---|
| Autores | Yue Li (0009-0004-9365-9070, University at Buffalo, State University of New York, autor de correspondencia), Laurent G Glance (0000-0003-3381-699X, University of Rochester), Xueya Cai (0000-0001-7922-2703, Indiana University – Purdue University Indianapolis), Dana B Mukamel (0000-0003-4147-5785, University of California, Irvine) |
| Año | 2008 |
| Volumen | 46 |
| Número | 12 |
| Páginas | 1249-1256 |
| Fecha de publicación | 2008-12-01 |
| Peer Reviewed | Sí |
| Open Access | No |
| Tipo | ARTICLE |
| Revista | Medical Care (JOURNAL) |
| Identificadores de la revista | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Editorial | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0b013e31817e188c |
| PMID | 19300315 |
| OpenAlex | W2081965493 |
| Idioma | EN |
| Citas recibidas | 9 |
| Referencias citadas | 43 |
BACKGROUND: Hospitalization due to ambulatory care sensitive (ACS) medical conditions is widely used as an indicator of poor primary care access and effectiveness. It is unknown whether patients with mental disorders have higher ACS admission rate, compared with patients without mental disorders. OBJECTIVE: To compare the ACS admission pattern and its resultant hospital cost and length of stay (LOS) between medical patients with and without coexisting mental disorders. METHODS: Using New York State hospital discharge data for 2004, we conducted a retrospective cohort study on inpatient cases who were aged 20-64 years and hospitalized due to either ACS condition or non-ACS "marker" condition. Multivariate regression was used to estimate the relative odds of ACS admissions and the incremental resource use for mentally ill patients during ACS hospitalization. RESULTS: Inpatient cases with mental disorders (N = 38,514) were more likely than others (N = 116,798) to have ACS admission [adjusted odds ratio (AOR), 2.30; 95% confidence interval (CI), 2.17-2.43] relative to admission due to marker conditions. During ACS hospitalization, mentally ill cases showed an average incremental cost of $556 (95% CI, $340-$778), and an average incremental LOS of 0.7 days (95% CI, 0.6-0.8 days). The higher ACS admission rate and hospital resource consumption were most pronounced for those with major depression, other psychoses, and combined psychiatric and substance-abuse disorders. CONCLUSIONS: Patients with mental disorders experience higher risk of hospitalization due to ACS medical conditions than the general population. During an ACS hospitalization, patients with mental disorders have longer length of stay and higher hospital cost than other patients
Ambulatory · Ambulatory care · Confidence interval · Depression (economics) · Health care · Mental health · Mental illness · Odds ratio · Population · Psychiatry · Retrospective cohort study · Chronic Disease Management Strategies · Emergency Medicine · Internal Medicine · Medicine · Mental Health Treatment and Access · Primary Care and Health Outcomes
Complex community health and social care interventions – Which features lead to reductions in hospitalizations for ambulatory care sensitive conditions? A systematic literature review
Older Adults’ Inpatient and Emergency Department Utilization for Ambulatory-Care-Sensitive Conditions
Methodological Challenges of Measuring Primary Care Delivery to Pediatric Medicaid Beneficiaries Who Use Community Health Centers
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Perceived Stress, Multimorbidity, and Risk for Hospitalizations for Ambulatory Care–sensitive Conditions
Have Racial Disparities in Ambulatory Care Sensitive Admissions Abated Over Time
Evaluating the Impact of Integrated Care on Service Utilization in Serious Mental Illness
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Are Patients With Coexisting Mental Disorders More Likely to Receive Cabg Surgery From Low-Quality Cardiac Surgeons
The Role of Psychiatric Diagnosis in Satisfaction With Primary Care
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Chronic Medical Illness, Depression, and Use of Acute Medical Services Among Medicare Beneficiaries
Receipt of Diabetes Services by Insured Adults With and Without Claims for Mental Disorders
Primary Care, HMO Enrollment, and Hospitalization for Ambulatory Care Sensitive Conditions
Effect of Managed Care on Preventable Hospitalization Rates in California
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| Obras citantes distintas | 9 |
|---|---|
| Citas por año | 0,56 |
| Intervalo de citas | 2010 - 2022 (13) |
| Velocidad de citación | historical |
| Altamente citado | No |
| Tipos de cita | Neutras: 9 |