Health facility determinants and trends of ICD-10 outpatient psychiatric consultations across Sofala, Mozambique: time-series analyses from 2012 to 2014
| Autor: | Kenneth Sherr, Manuel Napúa, Deepa Rao, Bradley H. Wagenaar, Vasco Cumbe, Manuela Raunig-Berhó, James P. Hughes |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Rural Health Ambulatory Care Facilities Ambulatory care International Classification of Diseases Outpatients Time-trends Ambulatory Care medicine Gender differences Humans Sex Distribution Psychiatry Referral and Consultation Mozambique Primary Health Care Delusional disorder business.industry Mental Disorders Urban Health 1. No poverty ICD-10 medicine.disease Mental health Neuroticism Community Mental Health Services 3. Good health Psychiatry and Mental health Mood Mental health services Mood disorders Schizophrenia Health facility determinants Female Outpatient psychiatry Epidemiologic Methods business Research Article |
| Zdroj: | BMC Psychiatry |
| ISSN: | 1471-244X |
| DOI: | 10.1186/s12888-015-0609-4 |
| Popis: | Background Few peer-reviewed publications have taken a longitudinal or systems approach to mental healthcare (MH) utilization in low- and middle-income countries. We analyzed: (1) outpatient ICD-10 diagnoses over time and by gender; and (2) health facility determinants of MH service utilization. Methods We reviewed a census of 15,856 outpatient psychiatric consultations conducted at Ministry clinics in Sofala province, Mozambique from January 2012-June 2014. Generalized estimating equations were used to model facility determinants of ICD-10 diagnoses. Results Across the period, 48.9 % of consults were for epilepsy, 22.4 % for schizophrenia/delusional disorders, and 8.8 % for neurotic/stress-related disorders. The proportion of schizophrenia/delusional disorders has decreased over time (32 % in 2012; 13 % in 2014, p = 0.003), in favor of greater diversity of diagnoses. Epilepsy has increased significantly in absolute and proportional terms. Women are more likely to present for neurotic/stress-related conditions (12.8 % of consults for women, 5.7 % for men, p |
| Databáze: | OpenAIRE |
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