The effect of inadequate access to healthcare services on emergency room visits. A comparison between physical and mental health conditions
This paper estimates the influence of inadequate access to healthcare services on the rate of Emergency Room (ER) hospital visits in Australia. We take micro-data on different types of healthcare shortfalls from the 2012 Australian Survey of Disability, Aging and Carers, and employ Propensity Score...
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| Veröffentlicht in: | PloS one 2018-08, Vol.13 (8), p.e0202559-e0202559 |
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| description | This paper estimates the influence of inadequate access to healthcare services on the rate of Emergency Room (ER) hospital visits in Australia. We take micro-data on different types of healthcare shortfalls from the 2012 Australian Survey of Disability, Aging and Carers, and employ Propensity Score Matching (PSM) techniques to identify their effects on ER visits. We find that shortfalls in access to various medical services increases ER visits for individuals with mental and physical conditions by about the same degree. Conversely, inadequate community care services significantly predict ER visits for individuals with physical conditions, but not for persons with mental conditions. The lack of predictive power for inadequate community care for persons with mental health problems is surprising, as "acopia" is thought to be a significant driver of crises that require emergency treatment. We discuss some of the mechanisms that may underpin this finding and address the policy implications of our results. Lastly a number of robustness checks and diagnostics tests are presented which confirm that our modelling assumptions are not violated and that our results are insensitive to the choice of matching algorithms. |
| doi_str_mv | 10.1371/journal.pone.0202559 |
| format | Article |
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We find that shortfalls in access to various medical services increases ER visits for individuals with mental and physical conditions by about the same degree. Conversely, inadequate community care services significantly predict ER visits for individuals with physical conditions, but not for persons with mental conditions. The lack of predictive power for inadequate community care for persons with mental health problems is surprising, as "acopia" is thought to be a significant driver of crises that require emergency treatment. We discuss some of the mechanisms that may underpin this finding and address the policy implications of our results. Lastly a number of robustness checks and diagnostics tests are presented which confirm that our modelling assumptions are not violated and that our results are insensitive to the choice of matching algorithms.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0202559</identifier><identifier>PMID: 30138438</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Aging ; Algorithms ; Alzheimer's disease ; Analysis ; Communities ; Community health care ; Disabled Persons ; Emergency medical care ; Emergency medical services ; Emergency Service, Hospital ; Female ; Health care ; Health care policy ; Health care services accessibility ; Health problems ; Health services ; Health Services Accessibility ; Hospitals ; Humans ; Male ; Matching ; Medical care utilization ; Medicine ; Medicine and Health Sciences ; Mental disorders ; Mental Disorders - epidemiology ; Mental Disorders - physiopathology ; Mental Disorders - therapy ; Mental Health ; Mental Health Services ; Patients ; Physical Examination ; Primary care ; Research and Analysis Methods ; Social sciences</subject><ispartof>PloS one, 2018-08, Vol.13 (8), p.e0202559-e0202559</ispartof><rights>COPYRIGHT 2018 Public Library of Science</rights><rights>2018 Vecchio et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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A comparison between physical and mental health conditions</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>This paper estimates the influence of inadequate access to healthcare services on the rate of Emergency Room (ER) hospital visits in Australia. We take micro-data on different types of healthcare shortfalls from the 2012 Australian Survey of Disability, Aging and Carers, and employ Propensity Score Matching (PSM) techniques to identify their effects on ER visits. We find that shortfalls in access to various medical services increases ER visits for individuals with mental and physical conditions by about the same degree. Conversely, inadequate community care services significantly predict ER visits for individuals with physical conditions, but not for persons with mental conditions. 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vecchio, Nerina</au><au>Davies, Debbie</au><au>Rohde, Nicholas</au><au>Abe, Takeru</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of inadequate access to healthcare services on emergency room visits. A comparison between physical and mental health conditions</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2018-08-23</date><risdate>2018</risdate><volume>13</volume><issue>8</issue><spage>e0202559</spage><epage>e0202559</epage><pages>e0202559-e0202559</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>This paper estimates the influence of inadequate access to healthcare services on the rate of Emergency Room (ER) hospital visits in Australia. We take micro-data on different types of healthcare shortfalls from the 2012 Australian Survey of Disability, Aging and Carers, and employ Propensity Score Matching (PSM) techniques to identify their effects on ER visits. We find that shortfalls in access to various medical services increases ER visits for individuals with mental and physical conditions by about the same degree. Conversely, inadequate community care services significantly predict ER visits for individuals with physical conditions, but not for persons with mental conditions. The lack of predictive power for inadequate community care for persons with mental health problems is surprising, as "acopia" is thought to be a significant driver of crises that require emergency treatment. We discuss some of the mechanisms that may underpin this finding and address the policy implications of our results. Lastly a number of robustness checks and diagnostics tests are presented which confirm that our modelling assumptions are not violated and that our results are insensitive to the choice of matching algorithms.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>30138438</pmid><doi>10.1371/journal.pone.0202559</doi><tpages>e0202559</tpages><orcidid>https://orcid.org/0000-0001-7910-2242</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Aging Algorithms Alzheimer's disease Analysis Communities Community health care Disabled Persons Emergency medical care Emergency medical services Emergency Service, Hospital Female Health care Health care policy Health care services accessibility Health problems Health services Health Services Accessibility Hospitals Humans Male Matching Medical care utilization Medicine Medicine and Health Sciences Mental disorders Mental Disorders - epidemiology Mental Disorders - physiopathology Mental Disorders - therapy Mental Health Mental Health Services Patients Physical Examination Primary care Research and Analysis Methods Social sciences |
| title | The effect of inadequate access to healthcare services on emergency room visits. A comparison between physical and mental health conditions |
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