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.