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Videoconferencing could reduce the number of mental health patients transferred from outlying facilities to a regional mental health unit.
MedLine Citation:
PMID:  23025371     Owner:  NLM     Status:  In-Data-Review    
Objective : To determine if the addition of a video link to the existing phone connection, enabling patients admitted for mental and behavioural disorders to be seen by a centrally located psychiatrist or mental health clinician, would change the probability of these patients being transferred to the central mental health unit. Methods : Data analysed were patients admitted (n=1,943) to a health services regional hospital with a primary diagnosis of mental and behavioural disorders (ICD10-AM code F00-F99) between January 2002 and December 2010. The probability of being transferred was modelled using multilevel random intercept logistic regression. The introduction of videoconferencing in January 2008 was examined by testing if the inclusion of a binary intervention variable was significant when added to the best fitting risk adjustment model. Results : After the introduction of videoconferencing the percentage of patients transferred fell from 66.8% (95%CI 64.0 to 69.5) to 59.6% (95%CI 56.1 to 63.1) (χ(2) =10.42, p=0.001). After adjusting for age, sex, clustering in hospitals and repeat visits the odds of transfer were 0.69 (95%CI 0.49 to 0.97) of previous. Aboriginality, being non-Australian, long-term linear trend, admitted on the weekends or after hours were not significant predictors of the probability of transfer. Conclusions and Implications : The ability for the psychiatrist or senior mental health clinician to see mental health patients via videoconferencing was associated with a reduced probability of the patient being transferred. This satisfies the preference of patients to remain in their community and access mental health services.
David Buckley; Susan Weisser
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Australian and New Zealand journal of public health     Volume:  36     ISSN:  1753-6405     ISO Abbreviation:  Aust N Z J Public Health     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9611095     Medline TA:  Aust N Z J Public Health     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  478-82     Citation Subset:  IM    
Copyright Information:
© 2012 The Authors. ANZJPH © 2012 Public Health Association of Australia.
Clinical Governance Unit, Murrumbidgee Local Health Network, New South Wales Chief Executive's Office, Murrumbidgee Local Health Network, New South Wales.
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