Healthcare utilization patterns of individuals with depression after national policy to increase the mental health workforce in primary care: a data linkage study.

Autor: Dros JT; Netherlands Institute for Health Services Research (Nivel), Utrecht, the Netherlands. j.dros@nivel.nl.; National Health Care Institute, Diemen, the Netherlands. j.dros@nivel.nl.; Tilburg School of Social and Behavioural Sciences, Tilburg University, Tilburg, the Netherlands. j.dros@nivel.nl., van Dijk CE; National Health Care Institute, Diemen, the Netherlands., Böcker KBE; National Health Care Institute, Diemen, the Netherlands., Bruins Slot LCJAF; National Health Care Institute, Diemen, the Netherlands., Verheij RA; Netherlands Institute for Health Services Research (Nivel), Utrecht, the Netherlands.; National Health Care Institute, Diemen, the Netherlands.; Tilburg School of Social and Behavioural Sciences, Tilburg University, Tilburg, the Netherlands., Meijboom BR; Tilburg School of Social and Behavioural Sciences, Tilburg University, Tilburg, the Netherlands., Dik JW; National Health Care Institute, Diemen, the Netherlands., Bos I; Netherlands Institute for Health Services Research (Nivel), Utrecht, the Netherlands.
Jazyk: angličtina
Zdroj: BMC primary care [BMC Prim Care] 2024 May 08; Vol. 25 (1), pp. 158. Date of Electronic Publication: 2024 May 08.
DOI: 10.1186/s12875-024-02402-8
Abstrakt: Background: The deployment of the mental health nurse, an additional healthcare provider for individuals in need of mental healthcare in Dutch general practices, was expected to substitute treatments from general practitioners and providers in basic and specialized mental healthcare (psychologists, psychotherapists, psychiatrists, etc.). The goal of this study was to investigate the extent to which the degree of mental health nurse deployment in general practices is associated with healthcare utilization patterns of individuals with depression.
Methods: We combined national health insurers' claims data with electronic health records from general practices. Healthcare utilization patterns of individuals with depression between 2014 and 2019 (N = 31,873) were analysed. The changes in the proportion of individuals treated after depression onset were assessed in association with the degree of mental health nurse deployment in general practices.
Results: The proportion of individuals with depression treated by the GP, in basic and specialized mental healthcare was lower in individuals in practices with high mental health nurse deployment. While the association between mental health nurse deployment and consultation in basic mental healthcare was smaller for individuals who depleted their deductibles, the association was still significant. Treatment volume of general practitioners was also lower in practices with higher levels of mental health nurse deployment.
Conclusion: Individuals receiving care at a general practice with a higher degree of mental health nurse deployment have lower odds of being treated by mental healthcare providers in other healthcare settings. More research is needed to evaluate to what extent substitution of care from specialized mental healthcare towards general practices might be associated with waiting times for specialized mental healthcare.
(© 2024. The Author(s).)
Databáze: MEDLINE
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