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Sociodemographic Influences of Emergency Department Care for Anxiety Disorders.

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Title: Sociodemographic Influences of Emergency Department Care for Anxiety Disorders.
Authors: Dark, Tyra, Rust, George, Flynn, Heather A., Kinsell, Heidi, Harman, Jeffrey S.
Source: Journal of Behavioral Health Services & Research. Oct2018, Vol. 45 Issue 4, p593-604. 12p. 4 Charts.
Subjects: Anxiety disorders, Emergency medical services, Outpatient medical care, Ethnicity, Sociodemographic factors, Diagnosis
Abstract: This study examines variations in content of care for anxiety-related emergency department (ED) visits in the USA across various sociodemographic strata. The 2009-2012 National Hospital Ambulatory Medical Care Survey was used to identify all visits to general hospital EDs in which an anxiety diagnosis was recorded (n = 1930). Content and equitability of care was assessed utilizing logistic regression models. There were an estimated 1,856,000 ED visits with anxiety-related discharge diagnoses in the USA annually. Content of care and disposition varied by age, race/ethnicity, and insurance status. Visits by Medicaid patients were more likely than visits by privately insured patients to include a toxicology screen (OR = 1.67, p < .05) and visits by patients with either Medicaid or Medicare were less likely to include an EKG (OR = 0.53, p < .05 and OR = 0.52, p < .05, respectively). Understanding variations in ED care for anxiety can identify opportunities for intervention, both in the ED and upstream in appropriate healthcare settings. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Behavioral Health Services & Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: This study examines variations in content of care for anxiety-related emergency department (ED) visits in the USA across various sociodemographic strata. The 2009-2012 National Hospital Ambulatory Medical Care Survey was used to identify all visits to general hospital EDs in which an anxiety diagnosis was recorded (n&#160;= 1930). Content and equitability of care was assessed utilizing logistic regression models. There were an estimated 1,856,000 ED visits with anxiety-related discharge diagnoses in the USA annually. Content of care and disposition varied by age, race/ethnicity, and insurance status. Visits by Medicaid patients were more likely than visits by privately insured patients to include a toxicology screen (OR = 1.67, p&#160;&lt; .05) and visits by patients with either Medicaid or Medicare were less likely to include an EKG (OR = 0.53, p&#160;&lt; .05 and OR = 0.52, p&#160;&lt; .05, respectively). Understanding variations in ED care for anxiety can identify opportunities for intervention, both in the ED and upstream in appropriate healthcare settings. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Journal of Behavioral Health Services &amp; Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1007/s11414-018-9598-7
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        Text: English
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        PageCount: 12
        StartPage: 593
    Subjects:
      – SubjectFull: Anxiety disorders
        Type: general
      – SubjectFull: Emergency medical services
        Type: general
      – SubjectFull: Outpatient medical care
        Type: general
      – SubjectFull: Ethnicity
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      – SubjectFull: Sociodemographic factors
        Type: general
      – SubjectFull: Diagnosis
        Type: general
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      – TitleFull: Sociodemographic Influences of Emergency Department Care for Anxiety Disorders.
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            NameFull: Dark, Tyra
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            NameFull: Rust, George
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            NameFull: Flynn, Heather A.
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            NameFull: Kinsell, Heidi
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              M: 10
              Text: Oct2018
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              Y: 2018
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