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. 2012 Sep 4;184(12):E665–E674. doi: 10.1503/cmaj.111697

Table 4:

Predictors of time to physician follow-up visit for mental health care among 1857 children

Hazard ratio (95% CI)* p
Follow-up with psychiatrist
Age at index visit
 10–14 yr 1.26 (1.04–1.53) 0.02
 All other age groups Reference
First Nations or socioeconomic status
 First Nations 0.47 (0.32–0.70) < 0.001
 All other sociodemographic groups Reference
Main ambulatory diagnosis at index visit
 Mental or behavioural disorder due to substance abuse 0.21 (0.15–0.29) < 0.001
 Anxiety- or stress-related disorder 0.50 (0.40–0.63) < 0.001
 Schizophrenia or other psychotic Illness 2.78 (1.77–4.36) < 0.001
 All other diagnoses Reference
CTAS score
 All other CTAS scores Reference
 4 (semiurgent) 0.70 (0.55–0.89) 0.003
 5 (nonurgent) 0.53 (0.34–0.82) 0.005
 9 (unavailable) 0.65 (0.44–0.96) 0.03
Follow-up with a general practitioner
Age at index visit
 10–14 yr 0.76 (0.60–0.94) 0.01
 All other age groups Reference
Sex
 Female Reference
 Male 0.72 (0.58–0.88) 0.002
First Nations or socioeconomic status
 Family received a government-sponsored subsidy 0.67 (0.50–0.89) 0.006
 All other sociodemographic groups Reference
Main ambulatory diagnosis at index visit
 Mental or behavioural disorder due to substance abuse 0.43 (0.32–0.56) < 0.001
 Behavioural or emotional disorder or syndrome 0.70 (0.51–0.94) 0.02
 Intentional self-harm 0.56 (0.38–0.81) 0.002
 All other diagnoses Reference
Follow-up with a pediatrician
Age at index visit
 0–4 yr 3.30 (1.26–8.63) 0.02
 5–9 yr 2.25 (1.12–4.52) 0.02
 All other age groups Reference
Main ambulatory diagnosis at index visit
 Behavioural or emotional disorder or syndrome 3.58 (2.01–6.37) < 0.001
 Unspecified 8.01 (1.13–56.71) 0.04
 All other diagnoses Reference
Follow-up with other physician type
Age at index visit
 10–14 yr 0.38 (0.17–0.86) 0.02
 All other age groups Reference
Main ambulatory diagnosis at index visit
 Personality related 6.01 (1.85–19.56) 0.003
 All other diagnoses Reference

Note: CI = confidence interval, CTAS = Canadian Triage and Acuity Scale.

*

Multivariable competing risks regression.