Profiles of quality of outpatient care use, associated sociodemographic and clinical characteristics, and adverse outcomes among patients with substance-related disorders

• DOI: 10.1186/s13011-022-00511-0
• Publication Date: 2023-01-14T19:02:37Z
• Authors: Marie-Josée Fleury; Zhirong Cao; Guy Grenier; Christophe Huỳnh
• Keywords: Outpatient clinic

Abstract Background This study identified patient profiles in terms of their quality outpatient care use, associated sociodemographic and clinical characteristics, adverse outcomes based on frequent emergency department (ED) hospitalization, death from medical causes. Methods A cohort 18,215 patients with substance-related disorders (SRD) recruited addiction treatment centers was investigated using Quebec (Canada) health administrative databases. latent class analysis produced, identifying three while multinomial logistic regressions tested associations characteristics outcomes, respectively. Results Profile 1 (47% the sample), labeled “Low service users”, received low care. They were mainly younger, materially socially deprived men, some a criminal history. had more recent SRD, polysubstance, less mental (MD) chronic physical illnesses than other Profiles. 2 (36%), “Moderate high continuity intensity by general practitioners (GP), diversity regularity overall moderate. Compared 1, they older, likely to be unemployed or live semi-urban areas, most common MD illnesses. 3 (17%), “High intensive psychiatric higher Most lived alone single parents, fewer rural areas history homelessness, versus patients. strongly affected MD, mostly serious personality disorders. ED use hospitalizations, followed 2. No differences rates emerged among profiles. Conclusions Frequent hospitalization related profiles, services severity conditions. Outreach strategies responsive needs may include motivational interventions prevention risky behaviors for patients, collaborative GP-psychiatrist GP specialized