Nationwide Evaluation of Quality of Care Indicators for Individuals with Severe Mental Illness and Diabetes Mellitus, Following Israel's Mental Health Reform.

Autor: Barasche-Berdah D; Braun School of Public Health and Community Medicine, Hadassah Medical Organization, Faculty of Medicine, Hebrew University of Jerusalem, POB 12272, 92210, Jerusalem, Israel. deborah.berdah@mail.huji.ac.il., Ein-Mor E; National Program for Quality Indicators in Community Healthcare in Israel, Jerusalem, Israel., Calderon-Margalit R; Braun School of Public Health and Community Medicine, Hadassah Medical Organization, Faculty of Medicine, Hebrew University of Jerusalem, POB 12272, 92210, Jerusalem, Israel.; National Program for Quality Indicators in Community Healthcare in Israel, Jerusalem, Israel., Rose AJ; Braun School of Public Health and Community Medicine, Hadassah Medical Organization, Faculty of Medicine, Hebrew University of Jerusalem, POB 12272, 92210, Jerusalem, Israel.; National Program for Quality Indicators in Community Healthcare in Israel, Jerusalem, Israel., Krieger M; National Program for Quality Indicators in Community Healthcare in Israel, Jerusalem, Israel., Brammli-Greenberg S; Braun School of Public Health and Community Medicine, Hadassah Medical Organization, Faculty of Medicine, Hebrew University of Jerusalem, POB 12272, 92210, Jerusalem, Israel.; National Program for Quality Indicators in Community Healthcare in Israel, Jerusalem, Israel., Ben-Yehuda A; National Program for Quality Indicators in Community Healthcare in Israel, Jerusalem, Israel., Manor O; Braun School of Public Health and Community Medicine, Hadassah Medical Organization, Faculty of Medicine, Hebrew University of Jerusalem, POB 12272, 92210, Jerusalem, Israel.; National Program for Quality Indicators in Community Healthcare in Israel, Jerusalem, Israel., Cohen AD; Clalit Health Services, 101 Arlozorov St., POB 16250, 62098, Tel Aviv, Israel., Bar-Ratson E; Maccabi Healthcare Services, 68125, Tel Aviv, Israel., Bareket R; Meuhedet Health Fund, 124 Ibn Gvirol St, 62038, Tel Aviv, Israel.; Department of Family Medicine, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.; The Department of Medical Education, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel., Matz E; Leumit Health Fund, 23 Sprinzak St, 64738, Tel Aviv, Israel., Paltiel O; Braun School of Public Health and Community Medicine, Hadassah Medical Organization, Faculty of Medicine, Hebrew University of Jerusalem, POB 12272, 92210, Jerusalem, Israel.; National Program for Quality Indicators in Community Healthcare in Israel, Jerusalem, Israel.
Jazyk: angličtina
Zdroj: Community mental health journal [Community Ment Health J] 2024 Feb; Vol. 60 (2), pp. 354-365. Date of Electronic Publication: 2023 Sep 11.
DOI: 10.1007/s10597-023-01178-y
Abstrakt: Diabetes Mellitus (DM) is more common among individuals with severe mental illness (SMI). We aimed to assess quality-of-care-indicators in individuals with SMI following the 2015 Israel's Mental-Health-reform. We analyzed yearly changes in 2015-2019 of quality-of-care-measures and intermediate-DM-outcomes, with adjustment for gender, age-group, and socioeconomic status (SES) and compared individuals with SMI to the general adult population. Adults with SMI had higher prevalences of DM (odds ratio (OR) = 1.64; 95% confidence intervals (CI): 1.61-1.67) and obesity (OR = 2.11; 95% CI: 2.08-2.13), compared to the general population. DM prevalence, DM control, and obesity rates increased over the years in this population. In 2019, HbA1c testing was marginally lower (OR = 0.88; 95% CI: 0.83-0.94) and uncontrolled DM (HbA1c > 9%) slightly more common among patients with SMI (OR = 1.22; 95% CI: 1.14-1.30), control worsened by decreasing SES. After adjustment, uncontrolled DM (adj. OR = 1.02; 95% CI: 0.96-1.09) was not associated with SMI. Cardio-metabolic morbidity among patients with SMI may be related to high prevalences of obesity and DM rather than poor DM control. Effective screening for metabolic diseases in this population and social reforms are required.
(© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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