التفاصيل البيبلوغرافية
| العنوان: |
The role of geography and distance on physician follow-up after a first hospitalization with a diagnosis of a schizophrenia spectrum disorder: A retrospective population-based cohort study in Ontario, Canada. |
| المؤلفون: |
Rotenberg, Martin, Gozdyra, Peter, Anderson, Kelly K., Kurdyak, Paul |
| المصدر: |
PLoS ONE; 6/16/2023, Vol. 17 Issue 6, p1-20, 20p |
| مصطلحات موضوعية: |
SCHIZOPHRENIA, PHYSICIANS, HOSPITAL care, COHORT analysis, GEOGRAPHY, HOSPITAL admission & discharge |
| مصطلحات جغرافية: |
ONTARIO |
| مستخلص: |
Background: Timely follow-up after hospitalization for a schizophrenia spectrum disorder (SSD) is an important quality indicator. We examined the proportion of individuals who received physician follow-up within 7 and 30 days post-discharge by health region and estimated the effect of distance between a person's residence and discharging hospital on follow-up. Methods: We created a retrospective population-based cohort of incident hospitalizations with a discharge diagnosis of a SSD between 01/01/2012 and 30/03/2019. The proportion of follow-up with a psychiatrist and family physician within 7 and 30 days were calculated for each region. The effect of distance between a person's residence and discharging hospital on follow-up was estimated using adjusted multilevel logistic regression models. Results: We identified 6,382 incident hospitalizations for a SSD. Only 14.2% and 49.2% of people received follow-up care with a psychiatrist within 7 and 30 days of discharge, respectively, and these proportions varied between regions. Although distance from hospital was not associated with follow-up within 7 days of discharge, increasing distance was associated with lower odds of follow-up with a psychiatrist within 30 days. Conclusion: Post-discharge follow-up is poor across the province. Geospatial factors may impact post-discharge care and should be considered in further evaluation of quality of care. [ABSTRACT FROM AUTHOR] |
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