Evidence map›Paper›PMID 32808081›Full record

ArticleCommunity mental health journal2021

Impact of a Rapid-Access Ambulatory Psychiatry Encounter on Subsequent Emergency Department Utilization.

David S Kroll, Karen Wrenn, John A Grimaldi, Lorna Campbell, Lisa Irwin, Maria Pires, Natalie Dattilo, Julia Schechter, Nomi Levy-Carrick, David F Gitlin

Abstract read
PubMed Publisher
In one paragraph

Article in Community mental health journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 43% of its field
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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

10 authors at 1 institution in 1 country.

David S KrollDepartment of Psychiatry, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA. dskroll@bwh.harvard.edu.ORCID 0000-0002-6306-9465
Karen WrennDepartment of Psychiatry, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
John A GrimaldiDepartment of Psychiatry, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
Lorna CampbellDepartment of Psychiatry, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
Lisa IrwinDepartment of Psychiatry, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
Maria PiresDepartment of Psychiatry, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
Natalie DattiloDepartment of Psychiatry, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
Julia SchechterDepartment of Psychiatry, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
Nomi Levy-CarrickDepartment of Psychiatry, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
David F GitlinDepartment of Psychiatry, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
Brigham and Women's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The authors sought to determine whether providing a rapid-access ambulatory psychiatry encounter correlated with emergency department utilization during a 6-month follow-up period. Electronic medical records of patients who accessed ambulatory psychiatric care through an urgent care psychiatry clinic that offers treatment exclusively on a walk-in basis over a 1-year period (N = 157) were reviewed retrospectively to track emergency department encounters with and without a psychiatric chief complaint in the 6 months before and after the initial psychiatry evaluation. Among patients who had not previously received ambulatory psychiatric care (N = 88), emergency department utilization decreased from 0.68 visits per patient to 0.36, and this difference was statistically significant (p = 0.0147). No statistically significant differences were found between the average number of emergency department encounters in the 6 months before and after the rapid-access ambulatory psychiatry encounter, regardless of chief complaint, when all patients were included in the analysis. Providing a rapid-access ambulatory psychiatry encounter may reduce subsequent emergency department utilization among patients who have not previously received ambulatory psychiatric care.

Indexed as

Emergency Service, HospitalPsychiatryAmbulatory CareElectronic Health RecordsHumansRetrospective StudiesAccess to careBarriers to careProgram developmentUtilization

Identifiers

PMID32808081
OpenAlexW3058022159

What OpenQuestion holds

Textmetadata
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.