Use of GP services by patients with schizophrenia: a national cross-sectional register-based study

Hetlevik, Øystein; Solheim, Magne; Gjesdal, Sturla

doi:10.1186/s12913-015-0719-1

Cited by 20 publications

(18 citation statements)

References 33 publications

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“…The multilevel linear regression showed that women made more visits to their GP, which is in line with other studies [ 4 , 15 , 19 ]. The analysis also showed that patients who were married or living with a partner had more contact with PPCs than singles, as in an earlier study [ 15 ] and this may have been because family support helped to ensure they received continuing care.…”

Section: Discussionsupporting

confidence: 91%

“…The mean annual number of patient contacts with GP was 4.1, which is in line with other reports [ 5 , 16 , 19 ]. Our results show that in the area we studied the majority of patients were in contact with primary care professionals, only 3.2% had no contact with a GP during the observation period, which is even lower than in a study conducted in Norway, in which the percentage of patients who had no contacts with a GP was 17% [ 19 ].…”

Section: Discussionsupporting

confidence: 91%

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Factors associated with visits to general practitioners in patients with schizophrenia in Malaga

et al. 2018

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BackgroundPatients with psychiatric disorders have more physical problems than other patients, so their follow-up by the general practitioner is particularly important for them.MethodsWe aimed to elaborate a multilevel explanatory model of general practitioner (GP) visits made by patients with schizophrenia and related disorders (SRD). An observational, cross-sectional study was conducted from January 1, 2008 to July 1, 2011, in the area of the Clinical Management Unit of Mental Health (CMU-MH) of the Regional Hospital of Malaga (Spain). The eligible population consisted of all patients with SRD in contact with a GP residing in the study area. Our dependent variable was total number GP visits. The independent variables were: 1) patient variables (sociodemographic and clinical variables); 2) primary care centre (PCC) variables. We performed descriptive analysis, bivariate analysis and multilevel regression.ResultsFour hundred ninety four patients were included. Mean annual number of GP visits was 4.1. Female sex, living in a socioeconomically deprived area, a diagnosis of schizoaffective disorder and contact with a GP who had a more active approach to mental health issues were associated with a higher number of visits whilst being single and good communication between the PCC and mental health teams were associated with a lower number of GP visits.ConclusionsNumber of GP visits was not just associated with patient factors, but also with organisational and the involvement of health professionals, for example GPs with an active approach to mental health issues.Electronic supplementary materialThe online version of this article (10.1186/s12875-018-0866-7) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 91%

Factors associated with visits to general practitioners in patients with schizophrenia in Malaga

et al. 2018

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“…Rates of access to general practice for schizophrenia were commensurate with population estimates of prevalence. This is consistent with studies demonstrating that most people diagnosed with schizophrenia have regular contact with a general practitioner [ 7 , 34 ], often for administration of antipsychotic medication and/or the management of physical health problems that commonly co-occur with psychotic illnesses [ 35 ]. Compared to those who access public mental health services, people with schizophrenia who access general practice experience fewer symptoms, improved functioning, and lower service use [ 36 ].…”

Section: Discussionsupporting

confidence: 87%

Primary care access for mental illness in Australia: Patterns of access to general practice from 2006 to 2016

et al. 2018

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General practice has an important role within the Australian healthcare system to provide access to care and effective management of chronic health conditions. However, people with serious mental illness experience challenges associated with service access. The current paper seeks to examine drivers of access to general practice for people with common and serious mental disorders, compared with people who access care for type II diabetes, a common physical health problem managed in general practice. The Bettering the Evaluation and Care of Health (BEACH) programme provides the most comprehensive and objective measurement of general practitioner activity in Australia. Using BEACH data, this study compared general practice encounters for depression, anxiety, bipolar disorder, schizophrenia, and type II diabetes during a 10-year period between 2006 and 2016. Analysis revealed more frequent encounters for depression compared to anxiety, and a higher representation of women in encounters for bipolar disorder compared to men. The relationship between number of encounters and patient age was strongly associated with the life course and mortality characteristics associated with each disorder. The findings highlight specific challenges associated with access to primary care for people with serious mental illness, and suggest areas of focus to improve the ability of these patients to access and navigate the health system.

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“…Regarding hospitalizations, the median LOS of hospitalizations encoded with a SD diagnosis associated (21095) was 4 days, whereas our average LOS was 10 days (data not shown). Although these results are comparable to other European studies [43][44][45], the average LOS of acute psychotic episodes may be longer [46]. The fact that we considered hospitalizations for SD in any diagnosis position could have influenced these estimates.…”

Section: Discussionsupporting

confidence: 82%

Epidemiology of schizophrenia and its management over 8-years period using real-world data in Spain

et al. 2020

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Background: Real-World Data (RWD) studies provide important insights in disease epidemiology, in real clinical populations, with long follow-up periods. The aim of the present study was to describe the epidemiology of schizophrenia spectrum disorders (SD) during an 8-year period in Spain. Methods: A retrospective cohort of subjects aged 15 to 64 years was followed-up using electronic healthcare databases of the Valencia region (2008-2015). SD cases included outpatient and inpatient settings (ICD 9 codes 295.XX). Prevalence of SD was assessed. Incidence rate (IR) in the subpopulation aged between 15 and 34 years was also provided. Healthcare utilization (HCU) rates, including outpatient, specialists, hospitalizations and antipsychotic dispensations were estimated. Results: The cohort included 3,976,071 subjects; 24,749 of them had a prevalent diagnosis of SD. The overall prevalence for SD was 6.2 per 1000 persons. SD were 76% more prevalent in men than women. IR in the subpopulation aged between 15 and 34 years was 50.25 per 100,000 persons years and was more than 2 times higher for men than for women. 83.4% of the overall outpatient visits from the cohort of patients were related to SD. The 21,095 overall hospitalizations with the SD code resulted in 286,139 days of hospitalization, with a median of 4 days (IQR: 1.6-9.2) per person-year. 93.2% of subjects diagnosed with SD were ever treated with some antipsychotic drug during the study period, and 70% of the patients were ever treated with antipsychotic polypharmacy. Conclusions: This large population-based study using RWD provides novel and recent information SD in a southern European country. The prevalence and IR of SD showed is greater than previously published and higher in men than in women. The fact of having used a large arsenal of electronic data (including outpatient and inpatient) for 8 years may have influenced. SD represents high burden and healthcare utilization. Contrary to guidelines recommendations the majority of patients were ever treated with antipsychotic polypharmacy.

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Use of GP services by patients with schizophrenia: a national cross-sectional register-based study

Cited by 20 publications

References 33 publications

Factors associated with visits to general practitioners in patients with schizophrenia in Malaga

Factors associated with visits to general practitioners in patients with schizophrenia in Malaga

Primary care access for mental illness in Australia: Patterns of access to general practice from 2006 to 2016

Epidemiology of schizophrenia and its management over 8-years period using real-world data in Spain

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