{"id":6492,"date":"2016-08-19T00:00:00","date_gmt":"2016-08-19T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/how-much-do-mental-health-and-substance-use-addiction-affect-use-of-general-medical-services-extent-of-use-reason-for-use-and-associated-costs\/"},"modified":"2023-06-14T19:29:59","modified_gmt":"2023-06-14T23:29:59","slug":"how-much-do-mental-health-and-substance-use-addiction-affect-use-of-general-medical-services-extent-of-use-reason-for-use-and-associated-costs","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/how-much-do-mental-health-and-substance-use-addiction-affect-use-of-general-medical-services-extent-of-use-reason-for-use-and-associated-costs\/","title":{"rendered":"How much do mental health and substance use\/addiction affect use of general medical services? Extent of use, reason for use, and associated costs"},"content":{"rendered":"<p><strong>Objective <\/strong>&#x2014; To measure service use and costs associated with healthcare for patients with mental health (MH) and substance use\/addiction (SA) problems.<\/p>\n<p><strong>Methods<\/strong> &#x2014; A 5-year cross-sectional study (2007-2012) of administrative healthcare data was conducted (average annual sample size = 123,235 adults aged &gt;18 years who had a valid Ontario healthcare number and used at least 1 service during the year; 55% female). We assessed average annual use of primary care, emergency departments and hospitals, and overall healthcare costs for patients identified as having MH only, SA only, co-occurring MH and SA problems (MH+SA), and no MH and\/or SA (MH\/SA) problems. Total visits\/admissions and total non-MH\/SA visits (i.e., excluding MH\/SA visits) were regressed separately on MH, SA, and MH+SA cases compared to non-MH\/SA cases using the 2011-2012 sample (N = 123,331), controlling for age and sex.<\/p>\n<p><strong>Results<\/strong> &#x2014; Compared to non-MH\/SA patients, MH\/SA patients were significantly (P &lt; 0.001) more likely to visit primary care physicians (1.82 times as many visits for MH-only patients, 4.24 for SA, and 5.59 for MH+SA), use emergency departments (odds, 1.53 [MH], 3.79 [SA], 5.94 [MH+SA]), and be hospitalized (odds, 1.59 [MH], 4.10 [SA], 7.82 [MH+SA]). MH\/SA patients were also significantly more likely than non-MH\/SA patients to have non-MH\/SA-related visits and accounted for 20% of the sample but over 30% of healthcare costs.<\/p>\n<p><strong>Conclusions<\/strong> &#x2014; MH and SA are core issues for all healthcare settings. MH\/SA patients use more services overall and for non-MH\/SA issues, with especially high use and costs for MH+SA patients.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objective &#x2014; To measure service use and costs associated with healthcare for patients with mental health (MH) and substance use\/addiction (SA) problems. Methods &#x2014; A 5-year cross-sectional study (2007-2012) of administrative healthcare data was conducted (average annual sample size = 123,235 adults aged &gt;18 years who had a valid Ontario healthcare number and used at [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[61,62,34],"migration-helper-qa-sample-set":[],"class_list":["post-6492","journal_article","type-journal_article","status-publish","hentry","topic-health-economics","topic-health-services-research","topic-mental-health-and-addictions"],"acf":{"citation":"Graham K, Cheng J, Bernards S, Wells S, Rehm J, Kurdyak P. <em>Can J Psychiatry<\/em>. 2017; 62(1):48-56. Epub 2016 Aug 20.","source_url":"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5302109\/","ices_scientist":[1152],"site":[6735],"research_program":[6744],"news_release":[],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"1ADF3004-CC15-48AB-8A3A-3603B7D9FABB","sitecore_item_name":"How-much-do-mental-health-and-substance-use-addiction-affect-use-of-general-medical-services","sitecore_field_values":"{\n  \"__Valid from\": \"20170814T111801\",\n  \"Title\": \"How much do mental health and substance use\/addiction affect use of general medical services? Extent of use, reason for use, and associated costs\",\n  \"Short title\": \"How much do mental health and\",\n  \"Summary\": \"This study measured service use and costs associated with healthcare for patients with mental health and substance use\/addiction problems.\",\n  \"Citation\": \"<p>Graham K, Cheng J, Bernards S, Wells S, Rehm J, Kurdyak P. <em>Can J Psychiatry<\/em>. 2017; 62(1):48-56. Epub 2016 Aug 20.<\/p>\",\n  \"Abstract\": \"<p><strong>Objective <\/strong>&mdash; To measure service use and costs associated with healthcare for patients with mental health (MH) and substance use\/addiction (SA) problems.<\/p>n<p><strong>Methods<\/strong> &mdash; A 5-year cross-sectional study (2007-2012) of administrative healthcare data was conducted (average annual sample size = 123,235 adults aged &gt;18 years who had a valid Ontario healthcare number and used at least 1 service during the year; 55% female). We assessed average annual use of primary care, emergency departments and hospitals, and overall healthcare costs for patients identified as having MH only, SA only, co-occurring MH and SA problems (MH+SA), and no MH and\/or SA (MH\/SA) problems. Total visits\/admissions and total non-MH\/SA visits (i.e., excluding MH\/SA visits) were regressed separately on MH, SA, and MH+SA cases compared to non-MH\/SA cases using the 2011-2012 sample (N = 123,331), controlling for age and sex.<\/p>n<p><strong>Results<\/strong> &mdash; Compared to non-MH\/SA patients, MH\/SA patients were significantly (P &lt; 0.001) more likely to visit primary care physicians (1.82 times as many visits for MH-only patients, 4.24 for SA, and 5.59 for MH+SA), use emergency departments (odds, 1.53 [MH], 3.79 [SA], 5.94 [MH+SA]), and be hospitalized (odds, 1.59 [MH], 4.10 [SA], 7.82 [MH+SA]). MH\/SA patients were also significantly more likely than non-MH\/SA patients to have non-MH\/SA-related visits and accounted for 20% of the sample but over 30% of healthcare costs.<\/p>n<p><strong>Conclusions<\/strong> &mdash; MH and SA are core issues for all healthcare settings. MH\/SA patients use more services overall and for non-MH\/SA issues, with especially high use and costs for MH+SA patients.<\/p>n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5302109\/\" title=\"opens external link\">View full text<\/a><\/p>\",\n  \"Keywords\": \"{B1D64275-8EBE-4BA1-83CB-D395C4CE0E93}|{EF3D32E7-A54B-435F-8453-5A16F63E2BB8}|{002C9B1A-B097-4316-A26A-BA3C0A3B8FA9}|{5B386094-8417-4B93-9D08-2F46BC0458AB}\",\n  \"Research Programs\": \"{DD981CF2-C2A6-457A-9917-A8DD64CCF7D6}\",\n  \"ICES Locations\": \"{FBE2D1B1-C0BA-423F-8D16-39466B6C1424}\",\n  \"ICES Scientists\": \"{B5C574DB-2952-4976-9299-A6F54F1757FA}\",\n  \"Posted Date\": \"20160819T000000\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2016\/January\/How-much-do-mental-health-and-substance-use-addiction-affect-use-of-general-medical-services"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | How much do mental health and substance use\/addiction affect use of general medical services? Extent of use, reason for use, and associated costs<\/title>\n<meta name=\"description\" content=\"Objective &#x2014; To measure service use and costs associated with healthcare for patients with mental health (MH) and substance use\/addiction (SA)\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/how-much-do-mental-health-and-substance-use-addiction-affect-use-of-general-medical-services-extent-of-use-reason-for-use-and-associated-costs\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICES | How much do mental health and substance use\/addiction affect use of general medical services? 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