title: Psychiatric visits to general hospital clinics by elderly persons and younger adults.
abstract: Findings of a study of mental health visits to general hospital outpatient clinics and emergency rooms by elderly persons and younger adults were compared with findings from an earlier survey of mental health visits to office-based physicians. In both studies, about half of the visits were to psychiatric clinics or to psychiatrists. However, the findings differed in that 43 percent of all visits to hospital clinics were for substance abuse, compared with only 4 percent of the visits to private physicians. Almost three-fourths of the hospital-based mental health visits by elderly patients were to psychiatric clinics, while only a third of the office visits by elderly patients were to psychiatrists. The authors discuss the policy implications of the high utilization of clinic services by elderly patients.
authors.affiliation: Institute for the Improvement of Medical Care and Health, New England Medical Center Hospitals, Boston, MA.
authors.forename: C
authors.initials: C
authors.lastname: Blixen
authors.forename: J
authors.initials: J
authors.lastname: Lion
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D003625:Data Collection; D004637:Emergency Services, Psychiatric / Q000706:statistics & numerical data*; D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services / Q000706:statistics & numerical data*; D009519:New York City; D010044:Outpatient Clinics, Hospital / Q000706:statistics & numerical data*; D014505:Urban Population