Related Experiment Video
Updated: Jan 11, 2026
Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
Impact of Rural Dwelling on Emergency Department Visits for Individuals with Psychotic Disorders in Newfoundland and
Zachary E M Giovannini-Green1, Gerald Mugford1, Zhiwei Gao1
1Division of Population Health and Applied Health Sciences, Faculty of Medicine, Memorial University of Newfoundland and Labrador, St. John's, NL, A1B 3V6, Canada.
Background And Hypothesis:
Despite recognition that utilization of emergency departments (EDs) by youth with psychotic disorders is an area of concern, little research has been conducted investigating ED utilization in rural areas. This study tests the hypothesis: Is rural dwelling associated with increased utilization of EDs in youth with a psychotic disorder living in Newfoundland and Labrador (NL)?
Study Design:
Administrative databases were utilized for a retrospective cohort study. Patients diagnosed with a psychotic disorder between April 1, 2011, and March 31, 2022, between 15 and 24 years old, and who visited an ED at least once were included. Mean monthly visits measured ED utilization. Independent variables in the analyses consisted of age, sex, geographic region, and urban or rural residence. Linear regression modeling identified significant variables associated with mean monthly ED visits in the univariate and multivariate analyses.
Study Results:
Multivariate analysis indicated rural residence was significantly associated with an increased mean monthly number of ED visits compared to urban residence (B-Coefficient = 0.19, P < .01). Female sex was also significantly associated with increased mean monthly ED visits over male sex (B-Coefficient = 0.13, P < .01).
Conclusions:
This study identified rural residence as a factor that significantly increases the utilization of EDs by youth with psychotic disorders living in NL. However, further research is required to develop strategies to remove barriers to care and facilitate access for this population. This will be both financially beneficial for the healthcare system overall while also helping ensure the well-being of some of the most vulnerable people in our society.
More Related Videos
05:52Handwriting Analysis Indicates Spontaneous Dyskinesias in Neuroleptic Naïve Adolescents at High Risk for Psychosis
Published on: November 21, 2013
05:33Measuring Biophysical and Psychological Stress Levels Following Visitation to Three Locations with Differing Levels of Nature
Published on: June 19, 2019
Related Concept Videos
01:30Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
01:29Psychological and Sociocultural Causes of Schizophrenia
01:28Psychosis and Antipsychotic Drugs: Overview
01:30Specialized Care Centers and Settings-I
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
01:26Psychosis: Goals of Pharmacotherapy
01:27Psychosis: Pathophysiology of Schizophrenia and Other Psychotic Disorders
Researchers have identified genetic factors that increase susceptibility to schizophrenia, underscoring the intricate interplay between genetics and environment in disease development. At the core of schizophrenia's pathophysiology is excessive dopaminergic neurotransmission within...