Racial disparities in emergency department utilization among patients with newly diagnosed depression
2023 | journal article. A publication with affiliation to the University of Göttingen.
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Racial disparities in emergency department utilization among patients with newly diagnosed depression
Müller, F. ; Munagala, A.; Arnetz, J. E.; Achtyes, E. D.; Alshaarawy, O. & Holman, H. T. (2023)
General Hospital Psychiatry, 85 pp. 163-170. DOI: https://doi.org/10.1016/j.genhosppsych.2023.10.018
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Details
- Authors
- Müller, Frank ; Munagala, Akhilesh; Arnetz, Judith E.; Achtyes, Eric D.; Alshaarawy, Omayma; Holman, Harland T.
- Abstract
- Objective: To test the hypothesis that racial and ethnic minorities have increased emergency department visit rates, despite being established with a primary care provider. Methods: In this retrospective cohort study, ED visits without hospital admission in a 12-month period among patients with a new primary care provider-issued diagnosis of depression were assessed. Electronic medical record (EMR) data was obtained from 47 family medicine clinics in a large Michigan-based healthcare system. General linear regression models with Poisson distribution were used to predict frequency of ED visits. Results: A total of 4159 patients were included in the analyses. In multivariable analyses, Black / African American race was associated with an additional 0.90 (95% CI 0.64, 1.16) ED visits and American Indian or Alaska Native race was associated with an additional 1.39 (95% CI 0.92, 1.87) ED visits compared to White or Caucasians (null value 0). These risks were only exceeded by patients who received a prescription for a typical antipsychotic drug agent. Conclusion: Despite being established patients at primary care providers and having follow-up encounters, Black / African American and American Indian or Alaska Native patients with depression were considerably more likely to seek ED treatment compared to White/Caucasian patients with depression.
- Issue Date
- 2023
- Journal
- General Hospital Psychiatry
- Organization
- Institut für Allgemeinmedizin
- ISSN
- 0163-8343
- eISSN
- 1873-7714
- Language
- English