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首页> 外文期刊>Journal of paediatrics and child health >Acute and outpatient service utilisation prior to, during, and following enrolment in community‐based mental health treatment among children and youth in Central Ontario: A proof of concept for cross‐sectoral data linkage
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Acute and outpatient service utilisation prior to, during, and following enrolment in community‐based mental health treatment among children and youth in Central Ontario: A proof of concept for cross‐sectoral data linkage

机译：在安大略省中部儿童和青少年的社区心理健康治疗之前，期间和外部服务利用率在内的社区的心理健康待遇：跨部门数据联动概念证明

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Aim Given the fragmentation of mental health and addictions (MHA) services for children and youth, comprehensive data on utilisation patterns are lacking. We sought to describe MHA‐related service use across the community, acute and outpatient sectors. Methods We used linked health‐administrative data sets to identify a cohort of individuals aged 18 who received MHA treatment in a large community organisation in Ontario, Canada between 1 April 2007 and 31 March 2012. We described their socio‐demographic characteristics, examined their MHA‐related concurrent service use in acute care and outpatient physician settings (primary care providers, paediatricians and psychiatrists), and compared service utilisation prior to, during and following enrolment using Poisson regressions. Results Among 7285 children and youth receiving community MHA treatment, there were 481 concurrent MHA‐related emergency department visits, 173 hospitalisations and 12140 outpatient physician visits. The average age at enrolment was 10.5?years, and 64% of clients were enrolled for ≥3 months. MHA‐related emergency department use significantly declined from 1?year prior, compared to 1?year following receipt of community MHA treatment (112 vs. 82 visits per 1000 person‐years, P ??0.001), particularly in females, ages 10–14, those living in higher‐income neighbourhoods and urban areas, and those with anxiety disorders. MHA hospitalisations also declined (45 vs. 32, P ??0.001), while outpatient physician visits increased (1750 vs. 1874, P ??0.001). Conclusions Our study suggests that community‐based MHA treatment may be effective in diverting children and youth away from acute care and highlights the importance of data linkage as a means to better understand the complexity of cross‐sectoral MHA service use.
机译：鉴于儿童和青年的心理健康和成瘾（MHA）服务的碎片，缺乏关于利用模式的全面数据。我们试图描述跨社区，急性和门诊部门的MHA相关的服务使用。方法采用联系的健康行政数据集，以识别年龄18岁的人队列的个人队列，在2007年4月1日至2012年3月3日之间获得了加拿大安大略省的大型社区组织的MHA治疗。我们描述了他们的社会人口特征，审查他们的MHA相关的并发服务在急性护理和门诊医生设置（初级护理提供商，儿科医生和精神科医生）中，并在使用泊松回归之前和之后的招生期间进行比较服务利用率。结果7285名儿童和青年接受社区MHA待遇，有481届同时的MHA相关的急诊部门访问，173名住院治疗和12140名门诊医生访问。注册的平均年龄为10.5岁，年龄为10.5岁，64％的客户已注册≥3个月。与MHA相关的急诊部门使用从1次出发时显着下降，而在收到社区MHA治疗后1年（每1000人次数，P？0.001），特别是在女性，年龄10-14，生活在高收入社区和城市地区的人和焦虑症的人。 MHA住院治疗也有所下降（45 vs.32，P？<0.001），而门诊医师访问增加（1750 Vs.1874，P？<0.001）。结论我们的研究表明，基于社区的MHA治疗可能有效地将儿童和青少年转移免于急性护理，并突出数据联动作为更好地理解跨部门MHA服务的复杂性的手段的重要性。

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