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Use of Mental Health Services for Patients Diagnosed with Major Depressive Disorders in Primary Care

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...

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Autores principales: González-Suñer, Laura, Carbonell-Duacastella, Cristina, Aznar-Lou, Ignacio, Rubio-Valera, Maria, Iglesias-González, Maria, Peñarrubia-María, Maria Teresa, Gil-Girbau, Montserrat, Serrano-Blanco, Antoni
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7908155/
https://www.ncbi.nlm.nih.gov/pubmed/33498567
http://dx.doi.org/10.3390/ijerph18030885
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author González-Suñer, Laura
Carbonell-Duacastella, Cristina
Aznar-Lou, Ignacio
Rubio-Valera, Maria
Iglesias-González, Maria
Peñarrubia-María, Maria Teresa
Gil-Girbau, Montserrat
Serrano-Blanco, Antoni
author_facet González-Suñer, Laura
Carbonell-Duacastella, Cristina
Aznar-Lou, Ignacio
Rubio-Valera, Maria
Iglesias-González, Maria
Peñarrubia-María, Maria Teresa
Gil-Girbau, Montserrat
Serrano-Blanco, Antoni
author_sort González-Suñer, Laura
collection PubMed
description 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.
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spelling pubmed-79081552021-02-27 Use of Mental Health Services for Patients Diagnosed with Major Depressive Disorders in Primary Care González-Suñer, Laura Carbonell-Duacastella, Cristina Aznar-Lou, Ignacio Rubio-Valera, Maria Iglesias-González, Maria Peñarrubia-María, Maria Teresa Gil-Girbau, Montserrat Serrano-Blanco, Antoni Int J Environ Res Public Health Article 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. MDPI 2021-01-20 2021-02 /pmc/articles/PMC7908155/ /pubmed/33498567 http://dx.doi.org/10.3390/ijerph18030885 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
González-Suñer, Laura
Carbonell-Duacastella, Cristina
Aznar-Lou, Ignacio
Rubio-Valera, Maria
Iglesias-González, Maria
Peñarrubia-María, Maria Teresa
Gil-Girbau, Montserrat
Serrano-Blanco, Antoni
Use of Mental Health Services for Patients Diagnosed with Major Depressive Disorders in Primary Care
title Use of Mental Health Services for Patients Diagnosed with Major Depressive Disorders in Primary Care
title_full Use of Mental Health Services for Patients Diagnosed with Major Depressive Disorders in Primary Care
title_fullStr Use of Mental Health Services for Patients Diagnosed with Major Depressive Disorders in Primary Care
title_full_unstemmed Use of Mental Health Services for Patients Diagnosed with Major Depressive Disorders in Primary Care
title_short Use of Mental Health Services for Patients Diagnosed with Major Depressive Disorders in Primary Care
title_sort use of mental health services for patients diagnosed with major depressive disorders in primary care
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7908155/
https://www.ncbi.nlm.nih.gov/pubmed/33498567
http://dx.doi.org/10.3390/ijerph18030885
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