Title |
Sociodemographic Influences of Emergency Department Care for Anxiety Disorders
|
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Published in |
The Journal of Behavioral Health Services & Research, February 2018
|
DOI | 10.1007/s11414-018-9598-7 |
Pubmed ID | |
Authors |
Tyra Dark, George Rust, Heather A. Flynn, Heidi Kinsell, Jeffrey S. Harman |
Abstract |
This study examines variations in content of care for anxiety-related emergency department (ED) visits in the USA across various sociodemographic strata. The 2009-2012 National Hospital Ambulatory Medical Care Survey was used to identify all visits to general hospital EDs in which an anxiety diagnosis was recorded (n = 1930). Content and equitability of care was assessed utilizing logistic regression models. There were an estimated 1,856,000 ED visits with anxiety-related discharge diagnoses in the USA annually. Content of care and disposition varied by age, race/ethnicity, and insurance status. Visits by Medicaid patients were more likely than visits by privately insured patients to include a toxicology screen (OR = 1.67, p < .05) and visits by patients with either Medicaid or Medicare were less likely to include an EKG (OR = 0.53, p < .05 and OR = 0.52, p < .05, respectively). Understanding variations in ED care for anxiety can identify opportunities for intervention, both in the ED and upstream in appropriate healthcare settings. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 33 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 5 | 15% |
Student > Master | 5 | 15% |
Student > Ph. D. Student | 5 | 15% |
Researcher | 3 | 9% |
Lecturer | 1 | 3% |
Other | 3 | 9% |
Unknown | 11 | 33% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 7 | 21% |
Engineering | 5 | 15% |
Psychology | 4 | 12% |
Nursing and Health Professions | 3 | 9% |
Social Sciences | 2 | 6% |
Other | 1 | 3% |
Unknown | 11 | 33% |