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Related Concept Videos

SBAR I: Understanding the Concept

SBAR I: Understanding the Concept

Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...

SBAR II: Application of SBAR

SBAR II: Application of SBAR

SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...

Assessment of apical pulse

Assessment of apical pulse

Assessing the Apical Pulse
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:

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Related Experiment Video

Updated: Jun 28, 2026

Assessment and Communication for People with Disorders of Consciousness

Assessment and Communication for People with Disorders of Consciousness

Published on: August 1, 2017

Referral without access: for psychiatric services, wait for the beep.

Karin V Rhodes¹, Teri L Vieth, Hallie Kushner

¹University of Pennsylvania, Department of Emergency Medicine, and the School of Social Policy and Practice, Philadelphia, PA, USA. kvr@sp2.upenn.edu

Annals of Emergency Medicine

|October 28, 2008

Summary

Accessing urgent mental health care is harder than physical care. Patients with depression face more phone answering machines and fewer successful appointments, especially those with Medicaid or uninsured status.

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Last Updated: Jun 28, 2026

Assessment and Communication for People with Disorders of Consciousness

Assessment and Communication for People with Disorders of Consciousness

Published on: August 1, 2017

SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients

SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients

Published on: February 6, 2021

Area of Science:

Health Services Research
Mental Health Access
Healthcare Disparities

Background:

Access to timely care for acute conditions is crucial for patient outcomes.
Existing research suggests disparities in healthcare access based on insurance status and condition type.

Purpose of the Study:

To compare access to urgent care appointments for acute depression versus acute medical conditions.
To analyze appointment access by insurance status for mental health services.

Main Methods:

An audit study design was employed in 9 US metropolitan areas.
Trained research assistants posed as patients referred from an emergency department (ED).
Callers inquired about appointments for depression or medical complaints, varying insurance status.

Main Results:

Mental health clinics had answering machines in 45% of calls vs. 8% for medical clinics.
Only 31% of depression callers could determine appointment availability vs. 78% for medical callers.
Appointment success rates were 22% for privately insured, 12% for Medicaid, and similar for uninsured depression patients.

Conclusions:

The process for obtaining urgent behavioral health appointments differs significantly from physical health care.
Voicemail usage is substantially higher in behavioral health settings, hindering access.
Further research is needed to understand the impact on depressed individuals and vulnerable populations.