Assessing quality indicators related to mental health emergency room utilization

摘要: This descriptive study compared 2014–15 to 2005–06 data on the quality of mental health services (MHS) in relation emergency room (ER) use assess impact 2005 Quebec MH reform regarding access, continuity and appropriateness care for patients with illnesses (PMI). Data emanated from Integrated Chronic Disease Surveillance System (Quebec/Canada). Participants (865,255 2014–15; 817,395 2005–06) were age 12 or over, at least one MI, including substance disorders (SUD), diagnosed during an ER visit, outpatient treatment hospitalization. Variables included: access (ER use/frequency, hospitalization rates, consultations preceding visit), (outpatient following visit/hospitalization, consecutive returns ERs), (high use, recurrence yearly visits, length hospitalization). Frequency distributions calculated sex, geographic area visits/hospitalizations 2014–15, between 2014 15 2005–06. PMI accounted % population (n = 865,255), whom 39% visited any reason. Amount frequency number/length hospitalizations almost twice as high versus without MI; 17% also high/very users frequently hospitalized. Among PMI, frequent despite a lack follow-up appointments after visits hospitalizations. Findings revealed some positive changes over time, such decreased rates; yet overall care, measured this study, remained low. demonstrated that did not produce substantial substantially improved hypothesized. Better should be promoted reduce prevalence among PMI. Quality improvement MHS may realized if ERs are supported by well-integrated community networks.