Trends in the Duration of Emergency Department Visits, 2001–2006

Slade, Eric P.; Dixon, Mort; Semmel, B.A. Sarah

doi:10.1176/ps.2010.61.9.878

Cited by 72 publications

(44 citation statements)

References 4 publications

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“…There is some evidence that visits related to mental health and substance abuse may be longer, although these effects appear to vary among EDs 9 14 19 33. Analysis of the impact of patient complaints in general was not done with sufficient frequency or consistency to support conclusions.…”

Section: Resultsmentioning

confidence: 99%

Patient characteristics associated with longer emergency department stay: a rapid review

et al. 2015

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Section: Resultsmentioning

confidence: 99%

Patient characteristics associated with longer emergency department stay: a rapid review

et al. 2015

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“…It is well-documented that persons with serious mental illness (e.g., schizophrenia, bipolar disorder), have substantial health care costs and poor outcomes (1–2). Collaborative care models (CCMs) have been shown to improve medical and psychiatric outcomes for persons with serious mental illness (3).…”

Section: Introductionmentioning

confidence: 99%

Correlates of Emergency Department Use by Individuals With Bipolar Disorder Enrolled in a Collaborative Care Implementation Study

Waxmonsky

Verchinina²,

Kim³

et al. 2016

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Objectives The study assessed correlates of emergency department use among individuals with bipolar disorder receiving a collaborative care program. Methods Community-based clinics from two states implemented the evidence-based Life Goals-Collaborative Care Model (LG-CC), which included self-management sessions and care management contacts. Logistic regression analysis was used to determine participant factors associated with 12-month emergency department use after LG-CC implementation. Results Among 219 participants with non-missing baseline and 12-month data, 24.2% (n=53) reported at least one emergency department visit. Participants with homelessness history (OR=3.76; 95% CI=1.39–10.2; p=.01) or 5 or more care management contacts (OR=2.62; 95% CI=.1.00–6.95; p=.05) had higher probability of emergency department visit, adjusting for demographic and clinical factors including physical health and hospitalization history. Conclusions Individuals with bipolar disorder and history of homelessness were more likely to use the emergency department despite enrollment in a Collaborative Care program, suggesting a greater need for more intensive care coordination.

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“…During this same period, general hospitals have experienced a substantial (23%) increase in psychiatric inpatient admissions (HCUPnet, 2014) and a reduction in psychiatric beds (National Center for Health Statistics, 2012). These changes may have contributed to psychiatric bed shortages (Alakeson, Pande, & Ludwig, 2010) and lengthy emergency department visit durations in some communities (Chang et al, 2012; Slade, Dixon, & Semmel, 2010). However, results from previous research suggests that hospitals also may have accelerated discharges by beginning the discharge planning process soon after admission and by more proactively coordinating a discharge with outpatient programs (Shumway et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

The Dynamics of Psychiatric Bed Use in General Hospitals

Slade

Goldman

2014

Adm Policy Ment Health

Self Cite

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This study examines general hospitals' adjustments in psychiatric bed utilization practices in response to increases in psychiatric inpatient admissions. Using panel data from 439 hospitals, monthly observations (N=7831) between 2007 and 2010 on psychiatric admissions, psychiatric bed occupancy rates, and average length-of-stay were created for psychiatric inpatients. In fixed-effects regressions, an increase in psychiatric admissions was associated with an increase in the probability of psychiatric bed use exceeding 100% occupancy and with a reduction of mean length-of-stay. These results were confirmed in instrumental variables models. General hospitals may dynamically adjust bed utilization practices in response to changing psychiatric bed needs. An implication of this dynamic adjustment model is that bed shortages are likely to be local, transitory events.

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Trends in the Duration of Emergency Department Visits, 2001–2006

Cited by 72 publications

References 4 publications

Patient characteristics associated with longer emergency department stay: a rapid review

Patient characteristics associated with longer emergency department stay: a rapid review

Correlates of Emergency Department Use by Individuals With Bipolar Disorder Enrolled in a Collaborative Care Implementation Study

The Dynamics of Psychiatric Bed Use in General Hospitals

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