Evidence map›Paper›PMID 38397723›Full record

ArticleInternational journal of environmental research and public health2024

Profiles of Emergency Department Users with Psychiatric Disorders Related to Barriers to Outpatient Care.

Tiffany Chen, Zhirong Cao, Francine Ferland, Lambert Farand, Marie-Josée Fleury

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
3.5field-weighted citation impact, top 9% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Mental Health Symptom Screening Among Adult Emergency Department Patients: A Cross-Sectional Study.Journal of the American College of Emergency Physicians open · 2026
    Article
  3. 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 at 4 institutions in 1 country.

Tiffany ChenDepartment of Psychiatry, McGill University, Montreal, QC H3A 1A1, Canada.
Zhirong CaoDouglas Hospital Research Centre, Douglas Mental Health University Institute, Montreal, QC H4H 1R3, Canada.
Francine FerlandSchool of Social Work, Addiction Rehabilitation Centre, Laval University, National Capital University Integrated Health and Social Services Centre, Quebec City, QC G1V 0A6, Canada.ORCID 0000-0003-2105-887X
Lambert FarandDepartment of Health Administration, Policy, and Evaluation, School of Public Health, University of Montreal, Montreal, QC H3N 1X9, Canada.
Marie-Josée FleuryDepartment of Psychiatry, McGill University, Montreal, QC H3A 1A1, Canada.ORCID 0000-0002-4743-8611
Douglas Mental Health University Institute · CAMcGill University · CAUniversité de Montréal · CAUniversité Laval · CA

Funding

CIHR 8400997
6 · The paper itself

Abstract

Emergency department (ED) overcrowding is a growing problem worldwide. High ED users have been historically targeted to reduce ED overcrowding and associated high costs. Patients with psychiatric disorders, including substance-related disorders (SRDs), are among the largest contributors to high ED use. Since EDs are meant for urgent cases, they are not an appropriate setting for treating recurrent patients or replacing outpatient care. Identifying ED user profiles in terms of perceived barriers to care, service use, and sociodemographic and clinical characteristics is crucial to reduce ED use and unmet needs. Data were extracted from medical records and a survey was conducted among 299 ED patients from 2021 to 2022 in large Quebec networks. Cluster algorithms and comparison tests identified three profiles. Profile 1 had the most patients without barriers to care, with case managers, and received the best primary care. Profile 2 reported moderate barriers to care and low primary care use, best quality of life, and more serious psychiatric disorders. Profile 3 had the most barriers to care, high ED users, and lower service satisfaction and perceived mental/health conditions. Our findings and recommendations inform decision-makers on evidence-based strategies to address the unmet needs of these vulnerable populations.

Indexed as

Mental DisordersSubstance-Related DisordersAmbulatory CareEmergency Service, HospitalHumansQuality of Lifebarriers to careemergency departmentshealth servicesmental healthneeds assessmentpsychiatric disorders

Identifiers

PMID38397723
PMCPMC10888102
OpenAlexW4391884178

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.