Demand for psychiatric emergency services and immigration. Findings in a Spanish hospital during the year 2003
Background: The aim of this study is to investigate differences among immigrants and natives regarding access and pathways to psychiatric care, psychiatric admission rates, length of stay, continuity of care, and main diagnoses. Methods: Psychiatric emergency visits (1511) and hospitalizations (410)...
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| Veröffentlicht in: | European journal of public health 2006-08, Vol.16 (4), p.383-387 |
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| creator | Perez-Rodriguez, M. Mercedes Baca-Garcia, Enrique Quintero-Gutierrez, Francisco J. Gonzalez, Gloria Saiz-Gonzalez, Dolores Botillo, Carlota Basurte-Villamor, Ignacio Sevilla, Juncal Gonzalez de Rivera, Jose L. |
| description | Background: The aim of this study is to investigate differences among immigrants and natives regarding access and pathways to psychiatric care, psychiatric admission rates, length of stay, continuity of care, and main diagnoses. Methods: Psychiatric emergency visits (1511) and hospitalizations (410) were registered in a Spanish Hospital with a catchment area of 280 000 people (19.3% immigrants) during the year 2003. Motives for demanding emergency psychiatric care, pathways to care, admission rates, length of stay, continuity of care, and main diagnoses were compared among natives and immigrants. Results: Immigrants accounted for 13.0% of consultations to the psychiatric emergency room (15.9% of patients) and 11.0% of admissions to the psychiatric hospitalization unit (13.5% of patients). The pathways to care were different for immigrants and natives. Immigrants had a lower rate of readmission to the psychiatric emergency room. Motives for consultation and hospitalization were also different among immigrants and natives. Immigrants showed more self-aggressive behaviours and neuroses, and lower rates of affective disorders and psychoses. Conclusions: Immigrants under-used psychiatric emergency and hospitalization services in comparison with natives. They did not consult because of psychoses or affective disorders, but mainly because of reactive conditions related to the stress of migration. |
| doi_str_mv | 10.1093/eurpub/ckl021 |
| format | Article |
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Findings in a Spanish hospital during the year 2003</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Oxford Journals Open Access Collection</source><source>MEDLINE</source><source>PAIS Index</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Alma/SFX Local Collection</source><creator>Perez-Rodriguez, M. Mercedes ; Baca-Garcia, Enrique ; Quintero-Gutierrez, Francisco J. ; Gonzalez, Gloria ; Saiz-Gonzalez, Dolores ; Botillo, Carlota ; Basurte-Villamor, Ignacio ; Sevilla, Juncal ; Gonzalez de Rivera, Jose L.</creator><creatorcontrib>Perez-Rodriguez, M. Mercedes ; Baca-Garcia, Enrique ; Quintero-Gutierrez, Francisco J. ; Gonzalez, Gloria ; Saiz-Gonzalez, Dolores ; Botillo, Carlota ; Basurte-Villamor, Ignacio ; Sevilla, Juncal ; Gonzalez de Rivera, Jose L.</creatorcontrib><description>Background: The aim of this study is to investigate differences among immigrants and natives regarding access and pathways to psychiatric care, psychiatric admission rates, length of stay, continuity of care, and main diagnoses. Methods: Psychiatric emergency visits (1511) and hospitalizations (410) were registered in a Spanish Hospital with a catchment area of 280 000 people (19.3% immigrants) during the year 2003. Motives for demanding emergency psychiatric care, pathways to care, admission rates, length of stay, continuity of care, and main diagnoses were compared among natives and immigrants. Results: Immigrants accounted for 13.0% of consultations to the psychiatric emergency room (15.9% of patients) and 11.0% of admissions to the psychiatric hospitalization unit (13.5% of patients). The pathways to care were different for immigrants and natives. Immigrants had a lower rate of readmission to the psychiatric emergency room. Motives for consultation and hospitalization were also different among immigrants and natives. Immigrants showed more self-aggressive behaviours and neuroses, and lower rates of affective disorders and psychoses. Conclusions: Immigrants under-used psychiatric emergency and hospitalization services in comparison with natives. They did not consult because of psychoses or affective disorders, but mainly because of reactive conditions related to the stress of migration.</description><identifier>ISSN: 1101-1262</identifier><identifier>EISSN: 1464-360X</identifier><identifier>DOI: 10.1093/eurpub/ckl021</identifier><identifier>PMID: 16524938</identifier><identifier>CODEN: EJPHF6</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Adult ; Comparative analysis ; Continuity of care ; Continuity of Patient Care ; Emergency medical care ; Emergency services ; Emergency Services, Psychiatric - utilization ; ethnicity ; Female ; Health care ; Health services ; Health Services Needs and Demand ; hospital ; Hospitalization ; Hospitals ; Humans ; Immigrants ; Immigration ; Length of stay ; Length of Stay - statistics & numerical data ; Male ; Medical records ; Mental health ; Mental health care ; Noncitizens ; pathway to care ; Patient Admission - statistics & numerical data ; Patients ; Population ; psychiatric care ; Psychiatric services ; Psychiatrists ; Psychiatry ; Public health ; Spain ; Statistics, Nonparametric ; Transients and Migrants ; Underuse</subject><ispartof>European journal of public health, 2006-08, Vol.16 (4), p.383-387</ispartof><rights>Copyright Oxford University Press(England) Aug 2006</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c426t-9474701eaf6d047271e90d892348c81167d1ebcee0f0c7b1a954bbb4a7a36be33</citedby><cites>FETCH-LOGICAL-c426t-9474701eaf6d047271e90d892348c81167d1ebcee0f0c7b1a954bbb4a7a36be33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27843,27901,27902,30977</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16524938$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Perez-Rodriguez, M. Mercedes</creatorcontrib><creatorcontrib>Baca-Garcia, Enrique</creatorcontrib><creatorcontrib>Quintero-Gutierrez, Francisco J.</creatorcontrib><creatorcontrib>Gonzalez, Gloria</creatorcontrib><creatorcontrib>Saiz-Gonzalez, Dolores</creatorcontrib><creatorcontrib>Botillo, Carlota</creatorcontrib><creatorcontrib>Basurte-Villamor, Ignacio</creatorcontrib><creatorcontrib>Sevilla, Juncal</creatorcontrib><creatorcontrib>Gonzalez de Rivera, Jose L.</creatorcontrib><title>Demand for psychiatric emergency services and immigration. Findings in a Spanish hospital during the year 2003</title><title>European journal of public health</title><addtitle>Eur J Public Health</addtitle><description>Background: The aim of this study is to investigate differences among immigrants and natives regarding access and pathways to psychiatric care, psychiatric admission rates, length of stay, continuity of care, and main diagnoses. Methods: Psychiatric emergency visits (1511) and hospitalizations (410) were registered in a Spanish Hospital with a catchment area of 280 000 people (19.3% immigrants) during the year 2003. Motives for demanding emergency psychiatric care, pathways to care, admission rates, length of stay, continuity of care, and main diagnoses were compared among natives and immigrants. Results: Immigrants accounted for 13.0% of consultations to the psychiatric emergency room (15.9% of patients) and 11.0% of admissions to the psychiatric hospitalization unit (13.5% of patients). The pathways to care were different for immigrants and natives. Immigrants had a lower rate of readmission to the psychiatric emergency room. Motives for consultation and hospitalization were also different among immigrants and natives. Immigrants showed more self-aggressive behaviours and neuroses, and lower rates of affective disorders and psychoses. Conclusions: Immigrants under-used psychiatric emergency and hospitalization services in comparison with natives. They did not consult because of psychoses or affective disorders, but mainly because of reactive conditions related to the stress of migration.</description><subject>Adult</subject><subject>Comparative analysis</subject><subject>Continuity of care</subject><subject>Continuity of Patient Care</subject><subject>Emergency medical care</subject><subject>Emergency services</subject><subject>Emergency Services, Psychiatric - utilization</subject><subject>ethnicity</subject><subject>Female</subject><subject>Health care</subject><subject>Health services</subject><subject>Health Services Needs and Demand</subject><subject>hospital</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Immigrants</subject><subject>Immigration</subject><subject>Length of stay</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Medical records</subject><subject>Mental health</subject><subject>Mental health care</subject><subject>Noncitizens</subject><subject>pathway to care</subject><subject>Patient Admission - statistics & numerical data</subject><subject>Patients</subject><subject>Population</subject><subject>psychiatric care</subject><subject>Psychiatric services</subject><subject>Psychiatrists</subject><subject>Psychiatry</subject><subject>Public health</subject><subject>Spain</subject><subject>Statistics, Nonparametric</subject><subject>Transients and Migrants</subject><subject>Underuse</subject><issn>1101-1262</issn><issn>1464-360X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7TQ</sourceid><sourceid>7QJ</sourceid><recordid>eNqF0U1r3DAQBmBRGpo07bHXInrozcnow5J8LGm3Wwg0JCmEXoQsj3eV2LIj2aX77-uwSwO99DQD8_DC8BLyjsEZg0qc45zGuT73Dx1w9oKcMKlkIRTcvVx2BqxgXPFj8jrnewAoteGvyDFTJZeVMCckfsbexYa2Q6Jj3vltcFMKnmKPaYPR72jG9Ct4zPSJhb4Pm-SmMMQzugqxCXGTaYjU0ZvRxZC3dDvkMUyuo82cliudtkh36BLlAOINOWpdl_HtYZ6SH6svtxfr4vL7128Xny4LL7maikpqqYGha1UDUnPNsILGVFxI4w1jSjcMa48ILXhdM1eVsq5r6bQTqkYhTsnHfe6YhscZ82T7kD12nYs4zNkqoyoG-v-w1GC0MXKBH_6B98Oc4vKEZZU0RoOCBRV75NOQc8LWjin0Lu0sA_tUl93XZfd1Lf79IXSue2ye9aGf58CQJ_z99-7Sg1Va6NKu737aq9Va3VwLsKX4A0ljoZA</recordid><startdate>200608</startdate><enddate>200608</enddate><creator>Perez-Rodriguez, M. Mercedes</creator><creator>Baca-Garcia, Enrique</creator><creator>Quintero-Gutierrez, Francisco J.</creator><creator>Gonzalez, Gloria</creator><creator>Saiz-Gonzalez, Dolores</creator><creator>Botillo, Carlota</creator><creator>Basurte-Villamor, Ignacio</creator><creator>Sevilla, Juncal</creator><creator>Gonzalez de Rivera, Jose L.</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7TQ</scope><scope>C1K</scope><scope>DHY</scope><scope>DON</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>200608</creationdate><title>Demand for psychiatric emergency services and immigration. Findings in a Spanish hospital during the year 2003</title><author>Perez-Rodriguez, M. Mercedes ; Baca-Garcia, Enrique ; Quintero-Gutierrez, Francisco J. ; Gonzalez, Gloria ; Saiz-Gonzalez, Dolores ; Botillo, Carlota ; Basurte-Villamor, Ignacio ; Sevilla, Juncal ; Gonzalez de Rivera, Jose L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c426t-9474701eaf6d047271e90d892348c81167d1ebcee0f0c7b1a954bbb4a7a36be33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Comparative analysis</topic><topic>Continuity of care</topic><topic>Continuity of Patient Care</topic><topic>Emergency medical care</topic><topic>Emergency services</topic><topic>Emergency Services, Psychiatric - utilization</topic><topic>ethnicity</topic><topic>Female</topic><topic>Health care</topic><topic>Health services</topic><topic>Health Services Needs and Demand</topic><topic>hospital</topic><topic>Hospitalization</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Immigrants</topic><topic>Immigration</topic><topic>Length of stay</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>Medical records</topic><topic>Mental health</topic><topic>Mental health care</topic><topic>Noncitizens</topic><topic>pathway to care</topic><topic>Patient Admission - statistics & numerical data</topic><topic>Patients</topic><topic>Population</topic><topic>psychiatric care</topic><topic>Psychiatric services</topic><topic>Psychiatrists</topic><topic>Psychiatry</topic><topic>Public health</topic><topic>Spain</topic><topic>Statistics, Nonparametric</topic><topic>Transients and Migrants</topic><topic>Underuse</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Perez-Rodriguez, M. Mercedes</creatorcontrib><creatorcontrib>Baca-Garcia, Enrique</creatorcontrib><creatorcontrib>Quintero-Gutierrez, Francisco J.</creatorcontrib><creatorcontrib>Gonzalez, Gloria</creatorcontrib><creatorcontrib>Saiz-Gonzalez, Dolores</creatorcontrib><creatorcontrib>Botillo, Carlota</creatorcontrib><creatorcontrib>Basurte-Villamor, Ignacio</creatorcontrib><creatorcontrib>Sevilla, Juncal</creatorcontrib><creatorcontrib>Gonzalez de Rivera, Jose L.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>PAIS Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Perez-Rodriguez, M. Mercedes</au><au>Baca-Garcia, Enrique</au><au>Quintero-Gutierrez, Francisco J.</au><au>Gonzalez, Gloria</au><au>Saiz-Gonzalez, Dolores</au><au>Botillo, Carlota</au><au>Basurte-Villamor, Ignacio</au><au>Sevilla, Juncal</au><au>Gonzalez de Rivera, Jose L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Demand for psychiatric emergency services and immigration. Findings in a Spanish hospital during the year 2003</atitle><jtitle>European journal of public health</jtitle><addtitle>Eur J Public Health</addtitle><date>2006-08</date><risdate>2006</risdate><volume>16</volume><issue>4</issue><spage>383</spage><epage>387</epage><pages>383-387</pages><issn>1101-1262</issn><eissn>1464-360X</eissn><coden>EJPHF6</coden><abstract>Background: The aim of this study is to investigate differences among immigrants and natives regarding access and pathways to psychiatric care, psychiatric admission rates, length of stay, continuity of care, and main diagnoses. Methods: Psychiatric emergency visits (1511) and hospitalizations (410) were registered in a Spanish Hospital with a catchment area of 280 000 people (19.3% immigrants) during the year 2003. Motives for demanding emergency psychiatric care, pathways to care, admission rates, length of stay, continuity of care, and main diagnoses were compared among natives and immigrants. Results: Immigrants accounted for 13.0% of consultations to the psychiatric emergency room (15.9% of patients) and 11.0% of admissions to the psychiatric hospitalization unit (13.5% of patients). The pathways to care were different for immigrants and natives. Immigrants had a lower rate of readmission to the psychiatric emergency room. Motives for consultation and hospitalization were also different among immigrants and natives. Immigrants showed more self-aggressive behaviours and neuroses, and lower rates of affective disorders and psychoses. Conclusions: Immigrants under-used psychiatric emergency and hospitalization services in comparison with natives. They did not consult because of psychoses or affective disorders, but mainly because of reactive conditions related to the stress of migration.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>16524938</pmid><doi>10.1093/eurpub/ckl021</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Oxford Journals Open Access Collection; MEDLINE; PAIS Index; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Adult Comparative analysis Continuity of care Continuity of Patient Care Emergency medical care Emergency services Emergency Services, Psychiatric - utilization ethnicity Female Health care Health services Health Services Needs and Demand hospital Hospitalization Hospitals Humans Immigrants Immigration Length of stay Length of Stay - statistics & numerical data Male Medical records Mental health Mental health care Noncitizens pathway to care Patient Admission - statistics & numerical data Patients Population psychiatric care Psychiatric services Psychiatrists Psychiatry Public health Spain Statistics, Nonparametric Transients and Migrants Underuse |
| title | Demand for psychiatric emergency services and immigration. Findings in a Spanish hospital during the year 2003 |
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