Please use this identifier to cite or link to this item: http://hdl.handle.net/10668/957
Título : Factors associated with use of community mental health services by schizophrenia patients using multilevel analysis
Autor : Moreno-Küstner, Berta
Mayoral, Fermín
Rivas, Fabio
Angona, Pedro
Requena, Javier
García-Herrera, José M
Navas, Desiree
Moreno, Patricia
Serrano-Blanco, Antoni
Bellón, Juan A
Filiación: [Moreno-Küstner,B] Research Unit Distrito Sanitario Malaga, IMABIS Fundation. Department of Personality, Evaluation and Psychological Treatment, University of Malaga,Spain. (Research network “redIAPP”, “SAMSERAP” group. [Mayora,F] Psychiatric Service, University Hospital Carlos Haya, Malaga, Spain, (Research network “redIAPP”,“SAMSERAP” group. [Rivas,F] Psychiatric Service, University Hospital Carlos Haya, Malaga, Spain. [Angona,P] Community Mental Health Centre “Guadalmedina”. University Hospital Carlos Haya, Malaga, Spain (Research network “redIAPP”,“SAMSERAP” group. [Requena,J; García-Herrera,JM] Community Mental Health Centre “Centro”. University Hospital Carlos Haya, Malaga, Spain, (Research network “redIAPP”,“SAMSERAP” group. [Navas,D; Moeno,P] Research Unit Distrito Sanitario Malaga, IMABIS Foundation, Malaga, Spain, (Research network “redIAPP”, “SAMSERAP” group. [Serrano-Blanco,A] Research and Development Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain, (Research network “redIAPP”, “SM-SJ de Déu” group. [Bellón,JA] Health Centre El Palo. Research Unit Distrito Sanitario Málaga (Research network “redIAPP”, “SAMSERAP” group). Department of Preventive Medicine, University of Malaga, Spain.
Grupo de Investigación: Research network “redIAPP”, “SAMSERAP” group
Palabras clave : atención ambulatoria
Servicios Comunitarios de Salud Mental
estudios transversales
Investigación sobre Servicios de Salud
Modelo lineales
Análisis de niveles múltiples
Aceptación de la Atención de Salud
Esquizofrenia
Ïndice de severidad de la enfermedad
Factores de riesgo
Factores Socioeconómicos
España
MeSH: Medical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Services::Patient Care::Ambulatory Care
Medical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Services::Community Health Services
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cross-Sectional Studies
Medical Subject Headings::Check Tags::Female
Medical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Health Services Research
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Regression Analysis
Medical Subject Headings::Check Tags::Male
Medical Subject Headings::Named Groups::Persons::Age Groups::Adult::Middle Aged
Medical Subject Headings::Health Care::Environment and Public Health::Public Health::Epidemiologic Methods::Statistics as Topic::Multilevel Analysis
Medical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Delivery of Health Care::Attitude to Health::Patient Acceptance of Health Care
Medical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Quality of Health Care::Epidemiologic Factors::Causality::Risk Factors
Medical Subject Headings::Psychiatry and Psychology::Mental Disorders::Schizophrenia and Disorders with Psychotic Features::Schizophrenia
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection::Health Surveys::Health Status Indicators::Severity of Illness Index
Medical Subject Headings::Health Care::Population Characteristics::Socioeconomic Factors
Medical Subject Headings::Geographicals::Geographic Locations::Europe::Spain
Medical Subject Headings::Named Groups::Persons::Age Groups::Adult
Fecha de publicación : 7-Oct-2011
Editorial : BioMed Central
Cita Bibliográfica: Moreno-Küstner B, Mayoral F, Rivas F, Angona P, Requena J, García-Herrera JM, et al. Factors associated with use of community mental health services by schizophrenia patients using multilevel analysis. BMC Health Serv Res. 2011;11:257.
Abstract: BACKGROUND Persons with schizophrenia and related disorders may be particularly sensitive to a number of determinants of service use, including those related with illness, socio-demographic characteristics and organizational factors. The objective of this study is to identify factors associated with outpatient contacts at community mental health services of patients with schizophrenia or related disorders. METHODS This cross-sectional study analyzed 1097 patients. The main outcome measure was the total number of outpatient consultations during one year. Independent variables were related to socio-demographic, clinical and use of service factors. Data were collected from clinical records. RESULTS The multilevel linear regression model explained 46.35% of the variance. Patients with significantly more contacts with ambulatory services were not working and were receiving welfare benefits (p = 0.02), had no formal education (p = 0.02), had a global level of severity of two or three (four being the most severe) (p < 0.001), with one or more inpatient admissions (p < 0.001), and in contact with both types of professional (nurses and psychiatrists) (p < 0.001). The patients with the fewest ambulatory contacts were those with diagnoses of persistent delusional disorders (p = 0.04) and those who were attended by four of the 13 psychiatrists (p < 0.001). CONCLUSIONS As expected, the variables that explained the use of community service could be viewed as proxies for severity of illness. The most surprising finding, however, was that a group of four psychiatrists was also independently associated with use of ambulatory services by patients with schizophrenia or related disorders. More research is needed to carefully examine how professional support networks interact to affect use of mental health.
Descripción : Journal Article; Research Support, Non-U.S. Gov't;
URI: http://hdl.handle.net/10668/957
Versión del editor : http://www.biomedcentral.com/1472-6963/11/257
DOI: 10.1186/1472-6963-11-257
ISSN : 1472-6963 (Online)
Appears in Collections:01- Artículos - DAP Málaga
01- Artículos - Hospital Regional de Málaga
01- Artículos - IBIMA. Instituto de Investigación Biomédica de Málaga

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