Somatic Care with a Psychotic Disorder. Lower Somatic Health Care Utilization of Patients with a Psychotic Disorder Compared to Other Patient Groups and to Controls Without a Psychiatric Diagnosis

被引:27
作者
Swildens, Wilma [1 ]
Termorshuizen, Fabian [2 ,3 ]
de Ridder, Alex [4 ]
Smeets, Hugo [2 ,5 ]
Engelhard, Iris M. [1 ,6 ]
机构
[1] Altrecht Inst Mental Hlth Care, Lange Nieuwstr 119, NL-3512 PG Utrecht, Netherlands
[2] Univ Med Ctr Utrecht, Julius Ctr Hlth Sci & Primary Care, Heidelberglaan 100, NL-3584 CX Utrecht, Netherlands
[3] Univ Utrecht, Utrecht Inst Pharmaceut Sci, Div Pharmacoepidemiol & Clin Pharmacol, POB 80082, NL-3508 TB Utrecht, Netherlands
[4] Altrecht Inst Mental Hlth Care, Gedachtengang 1, NL-3705 WH Zeist, Netherlands
[5] Achmea Hlth Insurance, POB 19, NL-3800 HA Amersfoort, Netherlands
[6] Univ Utrecht, Dept Clin & Hlth Psychol, Heidelberglaan 1, NL-3584 CS Utrecht, Netherlands
关键词
Mental health; Schizophrenia; Somatic Health Care utilization; GENERAL MEDICAL-SERVICES; SERIOUS MENTAL-ILLNESS; NONAFFECTIVE PSYCHOSIS; HEART-DISEASE; SCHIZOPHRENIA; COMORBIDITY; MORTALITY; QUALITY; PEOPLE; RISK;
D O I
10.1007/s10488-015-0679-0
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Patients with non-affective psychotic disorders (NAPD) face higher risk of somatic problems and early natural death compared to the general population. Therefore, treatment guidelines for schizophrenia and psychosis stress the importance of monitoring somatic risk factors. This study examined somatic Health Care utilization (HCu) of patients with NAPD compared to non-psychiatric controls and patients with depression, anxiety or bipolar disorders using a large Health Insurance database. Results show lower specialist somatic HCu of patients with NAPD compared to matched controls and also lower percentages for prescribed somatic medication and general practitioner consultations for patients aged aeyen60 years and after longer illness duration.
引用
收藏
页码:650 / 662
页数:13
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