Changes in private sector electroconvulsive treatment in Australia

Doessel, Darryl P., Scheurer, Roman W., Chant, David C. and Whiteford, Harvey A. (2006) Changes in private sector electroconvulsive treatment in Australia. Australian And New Zealand Journal of Psychiatry, 40 4: 362-367. doi:10.1080/j.1440-1614.2006.01803.x


Author Doessel, Darryl P.
Scheurer, Roman W.
Chant, David C.
Whiteford, Harvey A.
Title Changes in private sector electroconvulsive treatment in Australia
Journal name Australian And New Zealand Journal of Psychiatry   Check publisher's open access policy
ISSN 0004-8674
1440-1614
Publication date 2006-04
Sub-type Article (original research)
DOI 10.1080/j.1440-1614.2006.01803.x
Volume 40
Issue 4
Start page 362
End page 367
Total pages 6
Editor P. Joyce
Place of publication UK
Publisher Taylor & Francis Ltd
Collection year 2006
Language eng
Subject C1
321204 Mental Health
730211 Mental health
Formatted abstract
Objectives: This paper reports on changes, over time and between states, in the use of electroconvulsive therapy (ECT) in the private psychiatric sector in Australia between 1984 and 2004.

Method
: Data for ECT services, and all specialist psychiatry services provided under the Medicare system, have been analysed in absolute numbers and as utilization rates.

Results:
Changes in the use of ECT over time are different from other services provided by private psychiatrists. As in other countries, the use of ECT initially declined in period studied but has increased in recent years. In addition, there is a clear pattern of differential use of ECT between the states and territories.

Conclusions:
This descriptive study cannot 'explain' the results obtained: other data, incorporated into an explanatory model using regression analysis, are needed to determine the factors underlying the utilization patterns obtained in this study. Thus, further work is needed. Furthermore, it is important to analyse data at a lower level of geographical aggregation than that of the state/territory: this (state/territory) aggregation conceals differences in utilization between metropolitan, minor city, rural and remote regions of the country.
Keyword Australia
Ect
Electroconvulsive Therapy
Geographical Variation
Time-series
United-states
Regional Variation
Therapy
Patterns
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
2007 Higher Education Research Data Collection
School of Medicine Publications
 
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Created: Wed, 15 Aug 2007, 08:30:02 EST