Evidence map›Paper›PMID 28007366›Full record

ArticleThe Journal of emergency medicine2017

Access to Care and Depression among Emergency Department Patients.

Beau Abar, Steven Hong, Eric Aaserude, Ashley Holub, Vincent DeRienzo

Abstract read
In one paragraph

Article in The Journal of emergency medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Psychological Impact of Bladder Cancer: Insights from 219 Patients and Caregivers in Indonesia Using DASS-21 (2019-2023).Medical science monitor : international medical journal of experimental and clinical research · 2024
    Article
  4. Article
  5. Article
  6. Article
  7. Chronic fatigue syndrome in the emergency department.Open access emergency medicine : OAEM · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Beau AbarDepartments of Emergency Medicine, Psychiatry, and Public Health Sciences, University of Rochester Medical Center, Rochester, New York.
Steven HongDepartments of Emergency Medicine, Psychiatry, and Public Health Sciences, University of Rochester Medical Center, Rochester, New York.
Eric AaserudeDepartments of Emergency Medicine, Psychiatry, and Public Health Sciences, University of Rochester Medical Center, Rochester, New York.
Ashley HolubDepartments of Emergency Medicine, Psychiatry, and Public Health Sciences, University of Rochester Medical Center, Rochester, New York.
Vincent DeRienzoDepartments of Emergency Medicine, Psychiatry, and Public Health Sciences, University of Rochester Medical Center, Rochester, New York.

Funding

The University of Rochester Clinical and Translational Science InstituteKL2TR000095 · NCATS · UNIVERSITY OF ROCHESTER · PI BENNETT, NANCY M, KIEBURTZ, KARL D. · 2012 to 2015
$1.7M
NCATS NIH HHS KL2 TR000095
6 · The paper itself

Abstract

backgroundThe prevalence of depression among patients in the emergency department (ED) is significantly higher than in the general population, making the ED a potentially important forum for the identification of depression and intervention. Concomitant to the identification of depression is the issue of patient access to appropriate care.

objectiveThis study sought to establish prevalence estimates of potential barriers to care among ED patients and relate these barriers with symptoms of depression.

methodsTwo medical students conducted brief surveys on all ED patients ≥ 18 years on demographics, perceived access to care, and depression.

resultsA total of 636 participants were enrolled. The percentage of participants with mild or greater depression was 42%. The majority of patients reported experiencing some barriers to care, with the most prominent being difficulty finding transportation, work responsibilities, and the feeling that the doctor is not responsive to their concerns. Higher depression scores were bivariately associated with higher overall barriers to care mean scores (r = 0.44; p < 0.001), suggesting that greater symptoms of depression are associated with greater difficulties accessing care. Particularly strong associations were observed between symptoms of depression and difficulty finding transportation, the feeling that the doctor is not responsive to patients' concerns, embarrassment about a potential illness, and confusion trying to schedule an appointment.

conclusionsAcross all barriers analyzed, there was a greater incidence of depression associated with a greater perception of barriers. These barriers may be used as potential targets for intervention to increase access to health care resources.

Indexed as

AdolescentAdultAgedDepressionEmergency Service, HospitalFemaleHealth Services AccessibilityHumansMaleMiddle AgedPrevalenceSurveys and Questionnairesaccess to caredepressionemergency department

Identifiers

PMID28007366
PMCPMC5476517

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.