| Autor: |
Fischer EP; Center for Mental Healthcare and Outcomes Research, HSR&D, Central Arkansas Veterans Healthcare System, North Little Rock, AR 72114-1706, USA. fischerellenp@uams.edu, McCarthy JF, Ignacio RV, Blow FC, Barry KL, Hudson TJ, Owen RR Jr, Valenstein M |
| Jazyk: |
angličtina |
| Zdroj: |
Community mental health journal [Community Ment Health J] 2008 Oct; Vol. 44 (5), pp. 321-30. Date of Electronic Publication: 2008 Apr 10. |
| DOI: |
10.1007/s10597-008-9133-z |
| Abstrakt: |
Inconsistent service use for schizophrenia and bipolar disorder is associated with poorer outcomes of care. We analyzed VHA National Psychosis Registry data for 164,150 veterans with these disorders to identify characteristics associated with 5-year patterns of survival and with retention in VHA care. Most cohort members (63%) survived the period with no break in VHA healthcare lasting over 12 months. Inconsistent utilization was associated with younger age, no service-connected disability, and less physical comorbidity, regardless of diagnosis. The influence of gender and ethnicity on attrition varied by diagnosis and gap-duration. Variation in attrition by gender and ethnicity warrants additional attention. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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