Open AccessVideoconferencing could reduce the number of mental health patients transferred from outlying facilities to a regional mental health unit
Author(s) -
Buckley David,
Weisser Susan
Publication year - 2012
Publication title -
australian and new zealand journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.946
H-Index - 76
eISSN - 1753-6405
pISSN - 1326-0200
DOI - 10.1111/j.1753-6405.2012.00915.x
Subject(s) - mental health , medicine , odds , odds ratio , logistic regression , videoconferencing , psychological intervention , unit (ring theory) , mental health care , psychiatry , demography , family medicine , psychology , mathematics education , sociology , computer science , telecommunications
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.