OBJECTIVE: This study examined emergency department use among Medicare beneficiaries with serious mental disorders. METHODS: Drawn from the 2004 national 5% sample of Medicare beneficiaries, the sample in this study (N=129,805) included fee-for-service enrollees with primary diagnoses of schizophrenia, major depression, other major affective disorders, or other psychoses. Emergency department use was compared by psychiatric diagnostic category and presence of a claim related to substance use disorder. RESULTS: Having any emergency department visit was common for beneficiaries aged >or=65 years (58.3%) and beneficiaries <65 years who were Medicare eligible because of a disability (48.5%). Emergency department visits with a primary psychiatric diagnosis occurred for 14.8% of disabled beneficiaries and 6.7% of aged beneficiaries. Use varied by diagnosis and was higher for those with any substance-related claims (p<.01). CONCLUSIONS: Emergency department use was common in the sample. Within each eligibility category, use varied by psychiatric diagnostic category and presence of a substance-related claim.
OBJECTIVE: This study examined emergency department use among Medicare beneficiaries with serious mental disorders. METHODS: Drawn from the 2004 national 5% sample of Medicare beneficiaries, the sample in this study (N=129,805) included fee-for-service enrollees with primary diagnoses of schizophrenia, major depression, other major affective disorders, or other psychoses. Emergency department use was compared by psychiatric diagnostic category and presence of a claim related to substance use disorder. RESULTS: Having any emergency department visit was common for beneficiaries aged >or=65 years (58.3%) and beneficiaries <65 years who were Medicare eligible because of a disability (48.5%). Emergency department visits with a primary psychiatric diagnosis occurred for 14.8% of disabled beneficiaries and 6.7% of aged beneficiaries. Use varied by diagnosis and was higher for those with any substance-related claims (p<.01). CONCLUSIONS: Emergency department use was common in the sample. Within each eligibility category, use varied by psychiatric diagnostic category and presence of a substance-related claim.
Authors: Jemimah Ride; Panagiotis Kasteridis; Nils Gutacker; Tim Doran; Nigel Rice; Hugh Gravelle; Tony Kendrick; Anne Mason; Maria Goddard; Najma Siddiqi; Simon Gilbody; Rachael Williams; Lauren Aylott; Ceri Dare; Rowena Jacobs Journal: Health Serv Res Date: 2019-10-09 Impact factor: 3.402
Authors: Jemimah Ride; Panagiotis Kasteridis; Nils Gutacker; Maria Jose Aragon Aragon; Rowena Jacobs Journal: Appl Health Econ Health Policy Date: 2020-04 Impact factor: 2.561