Cargando…
Discrepancies between survey and administrative data on the use of mental health services in the general population: findings from a study conducted in Québec
BACKGROUND: Population surveys and health services registers are the main source of data for the management of public health. Yet, the validity of survey data on the use of mental health services has been questioned repeatedly due to the sensitive nature of mental illness and to the risk of recall b...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2011
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3233633/ https://www.ncbi.nlm.nih.gov/pubmed/22040030 http://dx.doi.org/10.1186/1471-2458-11-837 |
_version_ | 1782218444979044352 |
---|---|
author | Drapeau, Aline Boyer, Richard Diallo, Fatoumata Binta |
author_facet | Drapeau, Aline Boyer, Richard Diallo, Fatoumata Binta |
author_sort | Drapeau, Aline |
collection | PubMed |
description | BACKGROUND: Population surveys and health services registers are the main source of data for the management of public health. Yet, the validity of survey data on the use of mental health services has been questioned repeatedly due to the sensitive nature of mental illness and to the risk of recall bias. The main objectives of this study were to compare data on the use of mental health services from a large scale population survey and a national health services register and to identify the factors associated with the discrepancies observed between these two sources of data. METHODS: This study was based on the individual linkage of data from the cycle 1.2 of the Canadian Community Health Survey (CCHS-1.2) and from the health services register of the Régie de l'assurance maladie du Québec (RAMQ). The RAMQ is the governmental agency managing the Quebec national health insurance program. The analyses mostly focused on the 637 Quebecer respondents who were recorded as users of mental health services in the RAMQ and who were self-reported users or non users of these services in the CCHS-1.2. RESULTS: Roughly 75%, of those recorded as users of mental health services users in the RAMQ's register did not report using mental health services in the CCHS-1.2. The odds of disagreement between survey and administrative data were higher in seniors, individuals with a lower level of education, legal or de facto spouses and mothers of young children. They were lower in individuals with a psychiatric disorder and in frequent and more recent users of mental health services according to the RAMQ's register. CONCLUSIONS: These findings support the hypotheses that social desirability and recall bias are likely to affect the self-reported use of mental health services in a population survey. They stress the need to refine the investigation of mental health services in population surveys and to combine survey and administrative data, whenever possible, to obtain an optimal estimation of the population need for mental health care. |
format | Online Article Text |
id | pubmed-3233633 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-32336332011-12-09 Discrepancies between survey and administrative data on the use of mental health services in the general population: findings from a study conducted in Québec Drapeau, Aline Boyer, Richard Diallo, Fatoumata Binta BMC Public Health Research Article BACKGROUND: Population surveys and health services registers are the main source of data for the management of public health. Yet, the validity of survey data on the use of mental health services has been questioned repeatedly due to the sensitive nature of mental illness and to the risk of recall bias. The main objectives of this study were to compare data on the use of mental health services from a large scale population survey and a national health services register and to identify the factors associated with the discrepancies observed between these two sources of data. METHODS: This study was based on the individual linkage of data from the cycle 1.2 of the Canadian Community Health Survey (CCHS-1.2) and from the health services register of the Régie de l'assurance maladie du Québec (RAMQ). The RAMQ is the governmental agency managing the Quebec national health insurance program. The analyses mostly focused on the 637 Quebecer respondents who were recorded as users of mental health services in the RAMQ and who were self-reported users or non users of these services in the CCHS-1.2. RESULTS: Roughly 75%, of those recorded as users of mental health services users in the RAMQ's register did not report using mental health services in the CCHS-1.2. The odds of disagreement between survey and administrative data were higher in seniors, individuals with a lower level of education, legal or de facto spouses and mothers of young children. They were lower in individuals with a psychiatric disorder and in frequent and more recent users of mental health services according to the RAMQ's register. CONCLUSIONS: These findings support the hypotheses that social desirability and recall bias are likely to affect the self-reported use of mental health services in a population survey. They stress the need to refine the investigation of mental health services in population surveys and to combine survey and administrative data, whenever possible, to obtain an optimal estimation of the population need for mental health care. BioMed Central 2011-10-31 /pmc/articles/PMC3233633/ /pubmed/22040030 http://dx.doi.org/10.1186/1471-2458-11-837 Text en Copyright ©2011 Drapeau et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Drapeau, Aline Boyer, Richard Diallo, Fatoumata Binta Discrepancies between survey and administrative data on the use of mental health services in the general population: findings from a study conducted in Québec |
title | Discrepancies between survey and administrative data on the use of mental health services in the general population: findings from a study conducted in Québec |
title_full | Discrepancies between survey and administrative data on the use of mental health services in the general population: findings from a study conducted in Québec |
title_fullStr | Discrepancies between survey and administrative data on the use of mental health services in the general population: findings from a study conducted in Québec |
title_full_unstemmed | Discrepancies between survey and administrative data on the use of mental health services in the general population: findings from a study conducted in Québec |
title_short | Discrepancies between survey and administrative data on the use of mental health services in the general population: findings from a study conducted in Québec |
title_sort | discrepancies between survey and administrative data on the use of mental health services in the general population: findings from a study conducted in québec |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3233633/ https://www.ncbi.nlm.nih.gov/pubmed/22040030 http://dx.doi.org/10.1186/1471-2458-11-837 |
work_keys_str_mv | AT drapeaualine discrepanciesbetweensurveyandadministrativedataontheuseofmentalhealthservicesinthegeneralpopulationfindingsfromastudyconductedinquebec AT boyerrichard discrepanciesbetweensurveyandadministrativedataontheuseofmentalhealthservicesinthegeneralpopulationfindingsfromastudyconductedinquebec AT diallofatoumatabinta discrepanciesbetweensurveyandadministrativedataontheuseofmentalhealthservicesinthegeneralpopulationfindingsfromastudyconductedinquebec |