TY - JOUR
KW - Anxiety Disorders
KW - Depressive Disorder, Major/diagnosis/epidemiology/therapy
KW - Humans
KW - Male
KW - Mental Disorders
KW - Mental Health Services
KW - Primary Health Care
KW - Quality of Life
KW - Family physician
KW - major depressive disorder
KW - primary care
AU - L. González-Suñer
AU - C. Carbonell-Duacastella
AU - I. Aznar-Lou
AU - M. Rubio-Valera
AU - M. Iglesias-González
AU - M. T. Penarrubia-Maria
AU - M. Gil-Girbau
AU - A. Serrano-Blanco
A1 - 
AB - 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.
AD - Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, 08830 Barcelona, Spain.; Teaching, Research & Innovation Unit, Institut de Recerca Sant Joan de Déu, Sant Boi de Llobregat, 08830 Barcelona, Spain.; Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain.; Teaching, Research & Innovation Unit, Institut de Recerca Sant Joan de Déu, Sant Boi de Llobregat, 08830 Barcelona, Spain.; Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain.; Teaching, Research & Innovation Unit, Institut de Recerca Sant Joan de Déu, Sant Boi de Llobregat, 08830 Barcelona, Spain.; Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain.; Hospital Universitari Germans Trias i Pujol, 08916 Badalona, Spain.; Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain.; Institut Català de la Salut i Institut d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), 08006 Barcelona, Spain.; Teaching, Research & Innovation Unit, Institut de Recerca Sant Joan de Déu, Sant Boi de Llobregat, 08830 Barcelona, Spain.; Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, 08830 Barcelona, Spain.; Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain.
BT - International journal of environmental research and public health
C5 - Healthcare Disparities
CP - 3
DO - 10.3390/ijerph18030885
IS - 3
JF - International journal of environmental research and public health
LA - eng
M1 - Journal Article
N2 - 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.
PY - 2021
SN - 1660-4601; 1661-7827; 1660-4601
SP - 885
T1 - Use of Mental Health Services for Patients Diagnosed with Major Depressive Disorders in Primary Care
T2 - International journal of environmental research and public health
TI - Use of Mental Health Services for Patients Diagnosed with Major Depressive Disorders in Primary Care
U1 - Healthcare Disparities
U2 - 33498567
U3 - 10.3390/ijerph18030885
VL - 18
VO - 1660-4601; 1661-7827; 1660-4601
Y1 - 2021
Y2 - Jan 20
ER -