Use of Mental Health Services for Patients Diagnosed with Major Depressive Disorders in Primary Care
| Autor: | Maria Iglesias-González, Maria Rubio-Valera, María Teresa Peñarrubia-María, Cristina Carbonell-Duacastella, Antoni Serrano-Blanco, Montserrat Gil-Girbau, Laura González-Suñer, Ignacio Aznar-Lou |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
major depressive disorder medicine.medical_specialty Health Toxicology and Mutagenesis lcsh:Medicine family physician Article 03 medical and health sciences primary care 0302 clinical medicine Quality of life (healthcare) Health care medicine Humans 030212 general & internal medicine Psychiatry Mental disorder diagnosis Depression (differential diagnoses) Depressive Disorder Major Primary Health Care business.industry Mental Disorders lcsh:R Public Health Environmental and Occupational Health mental health services medicine.disease Anxiety Disorders Mental health 030227 psychiatry Clinical trial Quality of Life Anxiety Major depressive disorder medicine.symptom business |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 18 Issue 3 International Journal of Environmental Research and Public Health, Vol 18, Iss 885, p 885 (2021) r-IGTP. Repositorio Institucional de Producción Científica del Instituto de Investigación Germans Trias i Pujol instname INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH r-FSJD: Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu Fundació Sant Joan de Déu r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu |
| ISSN: | 1660-4601 1661-7827 |
| DOI: | 10.3390/ijerph18030885 |
| Popis: | Major depressive disorder (MDD) is one of the most disabling diseases worldwide, generating high use of health services. Previous studies have shown that Mental Health Services (MHS) use is associated with patient and Family Physician (FP) factors. The aim of this study was to investigate MHS use in a naturalistic sample of MDD outpatients and the factors influencing use of services in specialized psychiatric care, to know the natural mental healthcare pathway. Non-randomized clinical trial including newly depressed Primary Care (PC) patients (n = 263) with a 12-month follow-up (from 2013 to 2015). Patient sociodemographic variables were assessed along with clinical variables (mental disorder diagnosis, severity of depression or anxiety, quality of life, disability, beliefs about illness and medication). FP (n = 53) variables were also evaluated. A multilevel logistic regression analysis was performed to assess factors associated with public or private MHS use. Subjects were clustered by FP. Having previously used MHS was associated with the use of MHS. The use of public MHS was associated with worse perception of quality of life. No other sociodemographic, clinical, nor FP variables were associated with the use of MHS. Patient self-perception is a factor that influences the use of services, in addition to having used them before. This is in line with Value-Based Healthcare, which propose to put the focus on the patient, who is the one who must define which health outcomes are relevant to him. |
| Databáze: | OpenAIRE |
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