PURPOSE: To compare Emergency Room (ER) utilisation by subjects diagnosed as suffering from a mental disorder, who were born in Strong Migratory Pressure Countries (SMPC) or in Italy. To evaluate the predictors of admission to psychiatric and to non-psychiatric wards. METHOD: Data collected from Information System of Emergency Rooms were analysed. ER contacts in the years 2000-2004 pertaining to subjects who received a psychiatric diagnosis (ICD9-CM codes), and who were born in SMPC or in Italy were examined. "Contacts" included a total of 68,867 assessments made in the ER of all general hospitals in Rome having an acute psychiatric ward. Gender, age and clinical information on SMPC-born and Italian-born patients were compared. A multinomial logistic regression analysis was performed in order to determine risk factors for admission to a psychiatric or to a non-psychiatric ward. RESULTS: At the end of follow-up, 11.7% of ER contacts concerned patients born in SMPC. Compared to the Italian-born group, these patients were younger and received more frequently a diagnosis of "Alcohol and substance abuse and dependencies", while admissions to a psychiatric ward were significantly less common. CONCLUSION: Monitoring health service utilisation may provide relevant information for the delivery of culturally sensitive mental health services.
PURPOSE: To compare Emergency Room (ER) utilisation by subjects diagnosed as suffering from a mental disorder, who were born in Strong Migratory Pressure Countries (SMPC) or in Italy. To evaluate the predictors of admission to psychiatric and to non-psychiatric wards. METHOD: Data collected from Information System of Emergency Rooms were analysed. ER contacts in the years 2000-2004 pertaining to subjects who received a psychiatric diagnosis (ICD9-CM codes), and who were born in SMPC or in Italy were examined. "Contacts" included a total of 68,867 assessments made in the ER of all general hospitals in Rome having an acute psychiatric ward. Gender, age and clinical information on SMPC-born and Italian-born patients were compared. A multinomial logistic regression analysis was performed in order to determine risk factors for admission to a psychiatric or to a non-psychiatric ward. RESULTS: At the end of follow-up, 11.7% of ER contacts concerned patients born in SMPC. Compared to the Italian-born group, these patients were younger and received more frequently a diagnosis of "Alcohol and substance abuse and dependencies", while admissions to a psychiatric ward were significantly less common. CONCLUSION: Monitoring health service utilisation may provide relevant information for the delivery of culturally sensitive mental health services.
Authors: P Rucci; A Piazza; E Perrone; I Tarricone; R Maisto; I Donegani; V Spigonardo; D Berardi; M P Fantini; A Fioritti Journal: Epidemiol Psychiatr Sci Date: 2014-04-30 Impact factor: 6.892
Authors: Anna Durbin; Rahim Moineddin; Elizabeth Lin; Leah S Steele; Richard H Glazier Journal: BMC Health Serv Res Date: 2015-08-20 Impact factor: 2.655
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