TY - JOUR
KW - Adolescent
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - England
KW - Female
KW - Health Care Surveys
KW - Health Services Accessibility/standards
KW - Health Status
KW - Humans
KW - Linear Models
KW - Male
KW - Mental Disorders/therapy
KW - Middle Aged
KW - Primary Health Care/standards
KW - Quality of Health Care/statistics & numerical data
KW - Young Adult
AU - G. Abel
AU - N. Mavaddat
AU - M. Elliott
AU - Y. Lyratzopoulos
AU - M. Roland
A1 - 
AB - People with psychological problems face important challenges in obtaining high quality healthcare. We review evidence on the experience of primary care by people with mental health problems, including reasons why their care may be reported as worse than other groups. In the 2009 English GP Patient Survey, 5.7% of 2,163,456 respondents reported that they had a long-standing psychological or emotional condition. In an unadjusted regression model, respondents with long-standing emotional or psychological conditions rated their experiences worse than people without such problems, with scores which were up to 3 percentage points lower on individual survey items. However, after controlling for age, gender, ethnicity, deprivation and self-reported general health, people with long-standing psychological or emotional problems had slightly higher scores on 16 out of the 18 survey items, though with the equivalent of less than 2 percentage points difference for most items. Part of the reason for the difference between the adjusted and unadjusted models was the high prevalence of self-reported 'fair' or 'poor' general health among people who reported psychological problems. Overall, the results suggest that people with long-standing psychological and emotional conditions have similar experiences of English primary care compared to the rest of the population.
BT - International review of psychiatry (Abingdon, England)
C5 - General Literature
CP - 1
CY - England
DO - 10.3109/09540261.2010.545985
IS - 1
JF - International review of psychiatry (Abingdon, England)
N2 - People with psychological problems face important challenges in obtaining high quality healthcare. We review evidence on the experience of primary care by people with mental health problems, including reasons why their care may be reported as worse than other groups. In the 2009 English GP Patient Survey, 5.7% of 2,163,456 respondents reported that they had a long-standing psychological or emotional condition. In an unadjusted regression model, respondents with long-standing emotional or psychological conditions rated their experiences worse than people without such problems, with scores which were up to 3 percentage points lower on individual survey items. However, after controlling for age, gender, ethnicity, deprivation and self-reported general health, people with long-standing psychological or emotional problems had slightly higher scores on 16 out of the 18 survey items, though with the equivalent of less than 2 percentage points difference for most items. Part of the reason for the difference between the adjusted and unadjusted models was the high prevalence of self-reported 'fair' or 'poor' general health among people who reported psychological problems. Overall, the results suggest that people with long-standing psychological and emotional conditions have similar experiences of English primary care compared to the rest of the population.
PP - England
PY - 2011
SN - 1369-1627; 0954-0261
SP - 2
EP - 9
EP - 
T1 - Primary care experience of people with long-standing psychological problems: evidence from a national survey in England
T2 - International review of psychiatry (Abingdon, England)
TI - Primary care experience of people with long-standing psychological problems: evidence from a national survey in England
U1 - General Literature
U2 - 21338292
U3 - 10.3109/09540261.2010.545985
VL - 23
VO - 1369-1627; 0954-0261
Y1 - 2011
ER -