scholarly journals Record-linkage study of epidemiology and factors contributing to hospital care uptake

2000 ◽  
Vol 176 (1) ◽  
pp. 37-41 ◽  
Author(s):  
Christopher L. Morgan ◽  
Zahir Ahmed ◽  
Michael P. Kerr
Keyword(s):  
Health Care ◽  
Learning Disability ◽  
Dual Diagnosis ◽  
Record Linkage ◽  
Secondary Care ◽  
Hospital Care ◽  
Admission Rate ◽  
Linkage Study ◽  
Secondary Health Care ◽  
Community Patients

BackgroundWe know little about how people with a learning disability access secondary health care.AimsTo describe the epidemiology of learning disability, the influence of deprivation on prevalence and the pattern of secondary care uptake, including the effect of institutionalisation.MethodA record-linkage study of secondary care contacts of 434 000 people between 1991 and 1997. A population with learning disability was identified; their secondary care contact was calculated and compared with the general population's.ResultsThe distribution of people with a learning disability (n = 1595) correlated significantly with deprivation. The presence of a learning disability hospital significantly affected care uptake. Place of residence also affected acute admission to the learning disability hospital. Former institution residents generated 212 admissions per 1000 patients; community patients generated 18 per 1000. The admission rate with any psychiatric diagnosis to any setting was 26.3 per 1000 people with a learning disability; 16.5% of such patients had a dual diagnosis.ConclusionsHealth provision for people with a learning disability is affected by institutional provision.

scholarly journals Pre-Existing Mental Disorder, Clinical Profile, Inpatient Services, And Costs in People Hospitalised Following Traumatic Spinal Injury: A Population Record-Linkage Study

2020 ◽  
Vol 5 (5) ◽  
Author(s):  
Lisa Nicole Sharwood ◽  
Taneal Wiseman ◽  
Emma Tseris ◽  
Kate Curtis ◽  
Bharat Vaikuntam ◽  
...  
Keyword(s):  
Mental Illness ◽  
Substance Use ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Dual Diagnosis ◽  
Record Linkage ◽  
Injury Severity ◽  
Spinal Injury ◽  
Linkage Study ◽  
Icd 10

IntroductionRisk of traumatic injury is increased in individuals with mental illness, substance use disorder and dual diagnosis (mental disorders); these conditions will pre-exist among individuals hospitalised with acute traumatic spinal injury (TSI). Although early intervention can improve outcomes for people who experience mental disorders or TSI, the incidence, management, and cost of this often complex comorbid health profile is not sufficiently understood. Objectives and ApproachIn a whole-population cohort of patients hospitalised with acute TSI, we aimed to describe the prevalence of pre-existing mental disorders, and compare differences in injury epidemiology, costs and inpatient allied health service access. Record-linkage study of all hospitalised cases of TSI between June 2013 and June 2016 in New South Wales, Australia. TSI was defined by specific ICD-10-AM codes. Mental disorder status was considered as pre-existing where specific ICD-10-AM codes were recorded in incident admissions. Results13,489 individuals sustained acute TSI during this study. 13.11%, 6.06%, and 1.82% had pre-existing mental illness, substance use disorder, and dual diagnosis, respectively. Individuals with mental disorder were older (p<0.001), more likely to have had a fall or self-harmed (p<0.001), experienced almost twice the length of stay and inpatient complications, and increased injury severity compared to individuals without mental disorder (p<0.001). Conclusion / ImplicationsIndividuals hospitalised for TSI with pre-existing mental disorder have greater likelihood of increased injury severity and more complex, costly acute care admissions compared to individuals without mental disorder. Care pathway optimisation including prevention of hospital acquired complications for people with pre-existing mental disorders hospitalised for TSI is warranted.

Correlations of siblings’ and mothers’ utilisation of primary and hospital health care: A record linkage study in Western Australia

2006 ◽  
Vol 62 (6) ◽  
pp. 1341-1348 ◽  
Author(s):  
Alison M. Ward ◽  
Nick de Klerk ◽  
Douglas Pritchard ◽  
Martin Firth ◽  
C. D’Arcy J. Holman
Keyword(s):  
Health Care ◽  
Western Australia ◽  
Record Linkage ◽  
Linkage Study

Stroke and mental health care: a record linkage study

2001 ◽  
Vol 36 (12) ◽  
pp. 608-612 ◽  
Author(s):  
Ger Driessen ◽  
Silvia Evers ◽  
Frans Verhey ◽  
Jim van Os
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Record Linkage ◽  
Linkage Study

scholarly journals An Irish perspective on patients who lack the capacity to consent to treatment

1999 ◽  
Vol 23 (9) ◽  
pp. 522-524 ◽  
Author(s):  
John Hillery ◽  
David Tomkin ◽  
Adam McAuley
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Learning Disability ◽  
Dual Diagnosis ◽  
Legal System ◽  
Health Care Professionals ◽  
Service Provision ◽  
Consent To Treatment ◽  
Health Trust

Health care professionals in Ireland are concerned about the effect of L v. Bournewood Community and Mental Health Trust ex parte L (1998). Despite Ireland's distinct legal system and different service provision, this case has highlighted existing concerns about the treatment of patients with a dual diagnosis of learning disability and mental illness.

Pre-existing mental disorder, clinical profile, inpatient services and costs in people hospitalised following traumatic spinal injury: a whole population record linkage study

2020 ◽  
pp. injuryprev-2019-043567
Author(s):  
Lisa Nicole Sharwood ◽  
Taneal Wiseman ◽  
Emma Tseris ◽  
Kate Curtis ◽  
Bharat Vaikuntam ◽  
...  
Keyword(s):  
Mental Illness ◽  
Substance Use ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Dual Diagnosis ◽  
Record Linkage ◽  
Injury Severity ◽  
Spinal Injury ◽  
Linkage Study ◽  
Icd 10

BackgroundRisk of traumatic injury is increased in individuals with mental illness, substance use disorder and dual diagnosis (mental disorders); these conditions will pre-exist among individuals hospitalised with acute traumatic spinal injury (TSI). Although early intervention can improve outcomes for people who experience mental disorders or TSI, the incidence, management and cost of this often complex comorbid health profile is not sufficiently understood. In a whole population cohort of patients hospitalised with acute TSI, we aimed to describe the prevalence of pre-existing mental disorders and compare differences in injury epidemiology, costs and inpatient allied health service access.MethodsRecord linkage study of all hospitalised cases of TSI between June 2013 and June 2016 in New South Wales, Australia. TSI was defined by specific International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM) codes. Mental disorder status was considered as pre-existing where specific ICD-10-AM codes were recorded in incident admissions.Results13 489 individuals sustained acute TSI during this study. 13.11%, 6.06% and 1.82% had pre-existing mental illness, substance use disorder and dual diagnosis, respectively. Individuals with mental disorder were older (p<0.001), more likely to have had a fall or self-harmed (p<0.001), experienced almost twice the length of stay and inpatient complications, and increased injury severity compared with individuals without mental disorder (p<0.001).ConclusionIndividuals hospitalised for TSI with pre-existing mental disorder have greater likelihood of increased injury severity and more complex, costly acute care admissions compared with individuals without mental disorder. Care pathway optimisation including prevention of hospital-acquired complications for people with pre-existing mental disorders hospitalised for TSI is warranted.

scholarly journals Evaluation of nutritional care of overweight adults from the perspective of comprehensive health care

2017 ◽  
Vol 30 (4) ◽  
pp. 511-524 ◽  
Author(s):  
José Anael NEVES ◽  
Lia Thieme Oikawa ZANGIROLANI ◽  
Maria Angélica Tavares de MEDEIROS
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Secondary Care ◽  
Health Care Services ◽  
Nutritional Care ◽  
Levels Of Care ◽  
Care Services ◽  
Primary Health ◽  
Secondary Health Care ◽  
Comprehensive Health

ABSTRACT Objective: Describe and evaluate the nutritional care provided for overweight adults by the Primary and Secondary Health Care services of Santos, São Paulo, Brazil. Methods: This study was carried out between 2013 and 2015 integrating quantitative and qualitative approaches; it was divided into two phases: (1) characterization and (2) evaluation. In phase 1, a census of Primary Health Care Units (n=28) and Secondary Health Care Units (n=4) was conducted using interviews with health service managers and/or health professionals. Data were analyzed using exploratory data analysis. In phase 2, in-depth interviews were conducted with health service managers and/or health professionals investigating a sample of the Primary Health Care services and the totality of Secondary Health Care services provided. Thematic analysis was carried out using the theoretical framework for comprehensive health care proposed by Pinheiro & Mattos. Results: A total of 40 professionals were interviewed: 36 in the primary health care services and 4 in the secondary health care services. Nutritional care in the Primary Care services is focused on individual care and referrals to other services; nutrition diagnosis and health promotion occur only when overweight is associated with another disease. It was observed that the referral and counter-referral system and intersectorial collaborations were ineffective. In Secondary Care services, nutritional care is focused on clinical care using traditional approaches to nutrition education. Limiting factors for promoting comprehensive care were identified at the two levels of care: unproductive actions, lack of actions for health promotion and protection, and little dialogue between the Primary and Secondary care services. Conclusion: Overweight is not an outcome based on Primary and Secondary Care, but rather on prescriptive practices, which are not very effective in promoting users’ autonomy. It is necessary to guide the actions taken in these two levels of care to ensure the promotion of effective nutritional care.

scholarly journals Secondary Health Care: best practices in the health services network

2013 ◽  
Vol 21 (spe) ◽  
pp. 131-139 ◽  
Author(s):  
Alacoque Lorenzini Erdmann ◽  
Selma Regina de Andrade ◽  
Ana Lúcia Schaefer Ferreira de Mello ◽  
Livia Crespo Drago
Keyword(s):  
Health Care ◽  
Best Practices ◽  
Health Care Professionals ◽  
Secondary Care ◽  
Best Practice ◽  
Network Modeling ◽  
Secondary Level ◽  
Level Of Care ◽  
Health Practices ◽  
Secondary Health Care

OBJECTIVE: to understand the organization of health practices, based on the interactions at the secondary care level, and to analyze how the actions and services at this level of care contribute to the development of best practice in health. METHOD: a qualitative approach, based in Grounded Theory. Data was obtained from individual interviews, with managers, health care professionals and health service users making up the sample group representing the secondary level of healthcare. The theoretical model was formulated based on four categories, analyzed based in the elements of the network modeling of health care theoretical framework. RESULTS: The organization of health practices at a secondary level is in the process of consolidation and is contributing to the development of best practices in the locale studied. CONCLUSION: The broadening of access to consultations and specialized procedures, and the articulation of the network's points, are aspects of this level of care which are considered essential for care which is effective and integral. This study contributes to the analysis of health practices from the perspective of network modeling, based on the interactions between secondary care and the health system's other health facilities, which are shown as going through a process of consolidation in the locale studied.

Mental Health Care Use in Parkinson’s Disease: A Record Linkage Study

2008 ◽  
Vol 30 (2) ◽  
pp. 71-75 ◽  
Author(s):  
A.F.G. Leentjens ◽  
G. Driessen ◽  
W. Weber ◽  
M. Drukker ◽  
J. van Os
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Record Linkage ◽  
Linkage Study ◽  
Health Care Use ◽  
Mental Health Care Use
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