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Journal Article
How Long Do Adolescents Wait for Psychiatry Appointments?
2015
Overview
Appointment wait times are a neglected dimension of children’s access to psychiatry. We systematically examined how long an adolescent waits for a new patient appointment with a psychiatrist for routine medication management. From state directories, we identified 578 providers of adolescent psychiatric care in Ohio. Researchers posing as parents telephoned randomly selected offices, seeking care for a hypothetical 14-year-old patient under different scenarios. Overall, we measured 498 wait times at 140 unique offices. The median wait time was 50 days (interquartile range = 29–81 days). In adjusted models, adolescents with Medicaid waited longer than those with private insurance, especially during the spring (geometric mean = 50.9 vs. 41.9 days;
p
= 0.02). Wait times also varied markedly by region, with geometric means ranging from 22.4 to 75.1 days (
p
< 0.01). This study demonstrates that adolescents often experience lengthy wait times for routine care. This methodology represents a useful approach to real-time monitoring of psychiatric services.
Publisher
Springer US,Springer Nature B.V
Subject
/ Ambulatory Care - organization & administration
/ Child
/ Child & adolescent psychiatry
/ Childrens health insurance programs
/ Community and Environmental Psychology
/ Drugs
/ Female
/ Health Services Accessibility - organization & administration
/ Health Services Accessibility - statistics & numerical data
/ Humans
/ Insurance, Health - statistics & numerical data
/ Insurance, Health - utilization
/ Male
/ Medicaid
/ Medicaid - statistics & numerical data
/ Medicine
/ Ohio
/ Patients
