{"id":16438,"date":"2023-06-16T14:25:00","date_gmt":"2023-06-16T18:25:00","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&p=16438"},"modified":"2023-07-25T14:29:02","modified_gmt":"2023-07-25T18:29:02","slug":"the-role-of-geography-and-distance-on-physician-follow-up-after-a-first-hospitalization-with-a-diagnosis-of-a-schizophrenia-spectrum-disorder","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/the-role-of-geography-and-distance-on-physician-follow-up-after-a-first-hospitalization-with-a-diagnosis-of-a-schizophrenia-spectrum-disorder\/","title":{"rendered":"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"},"content":{"rendered":"

Background<\/strong> \u2014 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\u2019s residence and discharging hospital on follow-up.<\/p>\n

Methods<\/strong> \u2014 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\u2019s residence and discharging hospital on follow-up was estimated using adjusted multilevel logistic regression models.<\/p>\n

Results<\/strong> \u2014 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.<\/p>\n

Conclusion<\/strong> \u2014 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.<\/p>\n","protected":false},"excerpt":{"rendered":"

Background \u2014 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\u2019s residence and discharging hospital on follow-up. Methods \u2014 We created […]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[62,34],"migration-helper-qa-sample-set":[],"class_list":["post-16438","journal_article","type-journal_article","status-publish","hentry","topic-health-services-research","topic-mental-health-and-addictions"],"acf":{"citation":"Rotenberg M, Gozdyra P, Anderson KK, Kurdyak P. PLoS One<\/em>. 2023; 18(6):e0287334. Epub 2023 Jun 16.","source_url":"https:\/\/doi.org\/10.1371\/journal.pone.0287334","ices_scientist":[1152,1377,21808],"site":[6733],"research_program":[6744],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"\nICES | 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<\/title>\n<meta name=\"description\" content=\"Background \u2014 Timely follow-up after hospitalization for a schizophrenia spectrum disorder (SSD) is an important quality indicator. 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