Sociodemographic Influences of Emergency Department Care for Anxiety Disorders.

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 diagnos...

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Publicado en:Journal of Behavioral Health Services & Research Vol. 45; no. 4; pp. 593 - 605
Autores principales: Dark, Tyra, Rust, George, Flynn, Heather A., Kinsell, Heidi, Harman, Jeffrey S.
Formato: Journal Article
Publicado: Springer Nature Oct2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2018
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        atl: Sociodemographic Influences of Emergency Department Care for Anxiety Disorders.
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          Dark, Tyra
          Rust, George
          Flynn, Heather A.
          Kinsell, Heidi
          Harman, Jeffrey S.
        affil: Department of Behavioral Sciences and Social Medicine, Florida State University College of Medicine, Tallahassee, FL, USA
      sug:
        subj:
          Emergency Service Statistics and Numerical Data
          Health Care Delivery Methods
          Anxiety Disorders Therapy
          Quality of Health Care
          Emergency Medicine Methods
          Demography
          Female
          Insurance Coverage
          Medicare
          Young Adult
          Ethnic Groups
          Surveys
          Adult
          Logistic Regression
          Male
          Medicaid
          Middle Age
          Socioeconomic Factors
          Adolescence
          United States
          Aged
          Electrocardiography Statistics and Numerical Data
          Questionnaires
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Adolescent: 13-18 years
          Aged: 65+ years
          Female
          Male
      ab: 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.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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