ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2017
How Much Do Mental Health and Substance Use/Addiction Affect Use of General Medical Services? Extent of Use, Reason for Use, and Associated Costs.
Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Frequency of health-care utilization by adults who use illicit drugs: a systematic review and meta-analysis.Addiction (Abingdon, England) · 2020Pooled it
- Economic implications of mental health disorders: a literature review of hospitalization costs, interventions, and outcomes.Journal of medicine and life · 2026Review
- Article
- Cognitive Dysfunction in the Addictions (CDiA): protocol for a neuron-to-neighbourhood collaborative research program.Frontiers in psychiatry · 2025Article
- Predictors of Physician Follow-Up Care Among Patients Affected by an Incident Mental Disorder Episode in Quebec (Canada).Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2024Observational
- Article
- The impact of the COVID-19 pandemic on the rate of primary care visits for substance use among patients in Ontario, Canada.PloS one · 2023Article
- Substance Use-related Emergency Department Visits and Resource Utilization.The western journal of emergency medicine · 2022Article
- Recreational Drug Use in People Living with HIV in Spain: Factors Associated with Drug Use and the Impact on Clinical Outcomes.AIDS and behavior · 2021Article
- How do individuals with alcohol problems use social and healthcare services in Finland? Comparison of service use patterns between two high-need patient groups.Nordisk alkohol- & narkotikatidskrift : NAT · 2021Article
- Healthcare utilization of individuals with substance use disorders following Affordable Care Act implementation in a California healthcare system.Journal of substance abuse treatment · 2020Article
- Healthcare cost associations of patients who use illicit drugs in Florida: a retrospective analysis.Substance abuse treatment, prevention, and policy · 2020Article
- Defining and Predicting High Cost Utilization in Children's Outpatient Mental Health Services.Administration and policy in mental health · 2020Article
- Mental health problems among clients with substance use problems: a nationwide time-trend study.Social psychiatry and psychiatric epidemiology · 2020Article
- Service utilization and chronic condition outcomes among primary care patients with substance use disorders and co-occurring chronic conditions.Journal of substance abuse treatment · 2020Observational
- Perceptions of Community Involvement in the Peruvian Mental Health Reform Process Among Clinicians and Policy-Makers: A Qualitative Study.International journal of health policy and management · 2019Article
- Article
- Combined impacts of multimorbidity and mental disorders on frequent emergency department visits: a retrospective cohort study in Quebec, Canada.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2019Article
- Care outcomes and alcohol-related treatment utilisation profiles of patients with alcohol-use disorder: A prospective cohort study using electronic health records.Nordisk alkohol- & narkotikatidskrift : NAT · 2018Article
- Exploring Geographic Variation of Mental Health Risk and Service Utilization of Doctors and Hospitals in Toronto: A Shared Component Spatial Modeling Approach.International journal of environmental research and public health · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 4 institutions in 3 countries.
Funding
Abstract
objectiveTo measure service use and costs associated with health care for patients with mental health (MH) and substance use/addiction (SA) problems.
methodsA 5-year cross-sectional study (2007-2012) of administrative health care data was conducted (average annual sample size = 123,235 adults aged >18 years who had a valid Ontario health care number and used at least 1 service during the year; 55% female). We assessed average annual use of primary care, emergency departments and hospitals, and overall health care costs for patients identified as having MH only, SA only, co-occurring MH and SA problems (MH+SA), and no MH and/or SA (MH/SA) problems. Total visits/admissions and total non-MH/SA visits (i.e., excluding MH/SA visits) were regressed separately on MH, SA, and MH+SA cases compared to non-MH/SA cases using the 2011-2012 sample ( N = 123,331), controlling for age and sex.
resultsCompared to non-MH/SA patients, MH/SA patients were significantly ( P < 0.001) more likely to visit primary care physicians (1.82 times as many visits for MH-only patients, 4.24 for SA, and 5.59 for MH+SA), use emergency departments (odds, 1.53 [MH], 3.79 [SA], 5.94 [MH+SA]), and be hospitalized (odds, 1.59 [MH], 4.10 [SA], 7.82 [MH+SA]). MH/SA patients were also significantly more likely than non-MH/SA patients to have non-MH/SA-related visits and accounted for 20% of the sample but over 30% of health care costs.
conclusionsMH and SA are core issues for all health care settings. MH/SA patients use more services overall and for non-MH/SA issues, with especially high use and costs for MH+SA patients.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.