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Schizophrenia and contact with health and social services: A Nordic multi-centre study

Sorgaard, KW; Sandlund, M; Heikkila, J; Hansson, Lars LU ; Vinding, HR; Bjarnason, O; Bengtsson-Tops, A; Merinder, L; Nilsson, Lise-Lotte LU and Middelboe, T (2003) In Nordic Journal of Psychiatry 57(4). p.253-261
Abstract
Background: In a Nordic multi-centre study investigating the life and care situation of persons with schizophrenia living in the community, factors explaining use of health and social services were examined. Method: Four hundred and eighteen individuals with schizophrenia from 10 sites were interviewed about their contact with different services (support functions within and outside the mental health services, general practitioners (GPs), physicians in the mental health, psychotherapy, day-care and inpatient treatment), psychopathology, social network and needs for care. Results: Physicians and support contacts within the mental health system were most used and GPs and psychotherapy least. Three groups of variables were stabile predictors... (More)
Background: In a Nordic multi-centre study investigating the life and care situation of persons with schizophrenia living in the community, factors explaining use of health and social services were examined. Method: Four hundred and eighteen individuals with schizophrenia from 10 sites were interviewed about their contact with different services (support functions within and outside the mental health services, general practitioners (GPs), physicians in the mental health, psychotherapy, day-care and inpatient treatment), psychopathology, social network and needs for care. Results: Physicians and support contacts within the mental health system were most used and GPs and psychotherapy least. Three groups of variables were stabile predictors of contact: rural-urban differences, diagnoses (hebephrenic schizophrenia associated with less contact with physicians in the mental services and more with GPs) and health needs as experienced by the patients. No differences between the centres with regard to total service use were found, but the patterns of contact reflected urban-rural variance. A low number of health needs predicted contact with physicians within the mental health services, whereas a high number of such needs was related to contact with GPs and support functions within the mental health services. Social relations exhibited the highest number of unmet needs. Conclusions: Contact with physicians working in the mental health services was much more common than contact with GPs. Based on a broad spectre of demographic, clinical and network variables, it was not possible to find models that explained substantial parts of the variance of service use. Patterns of contact were different in rural, town and city-surroundings, and with the exception of psychotherapy, the rural pattern was characterized by use of less specialized services. The importance of health needs and diagnosis as predictors of contact illustrate the profound and lasting effects on health of having a diagnosis of schizophrenia. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
use of services, schizophrenia
in
Nordic Journal of Psychiatry
volume
57
issue
4
pages
253 - 261
publisher
Informa Healthcare
external identifiers
  • wos:000184458800002
  • pmid:12888399
  • scopus:10744224283
ISSN
1502-4725
DOI
10.1080/08039480310002138
language
English
LU publication?
yes
id
f789fc53-cdcd-49e6-8bbd-7a4267188bc0 (old id 900064)
date added to LUP
2008-01-16 08:37:26
date last changed
2018-01-07 05:47:32
@article{f789fc53-cdcd-49e6-8bbd-7a4267188bc0,
  abstract     = {Background: In a Nordic multi-centre study investigating the life and care situation of persons with schizophrenia living in the community, factors explaining use of health and social services were examined. Method: Four hundred and eighteen individuals with schizophrenia from 10 sites were interviewed about their contact with different services (support functions within and outside the mental health services, general practitioners (GPs), physicians in the mental health, psychotherapy, day-care and inpatient treatment), psychopathology, social network and needs for care. Results: Physicians and support contacts within the mental health system were most used and GPs and psychotherapy least. Three groups of variables were stabile predictors of contact: rural-urban differences, diagnoses (hebephrenic schizophrenia associated with less contact with physicians in the mental services and more with GPs) and health needs as experienced by the patients. No differences between the centres with regard to total service use were found, but the patterns of contact reflected urban-rural variance. A low number of health needs predicted contact with physicians within the mental health services, whereas a high number of such needs was related to contact with GPs and support functions within the mental health services. Social relations exhibited the highest number of unmet needs. Conclusions: Contact with physicians working in the mental health services was much more common than contact with GPs. Based on a broad spectre of demographic, clinical and network variables, it was not possible to find models that explained substantial parts of the variance of service use. Patterns of contact were different in rural, town and city-surroundings, and with the exception of psychotherapy, the rural pattern was characterized by use of less specialized services. The importance of health needs and diagnosis as predictors of contact illustrate the profound and lasting effects on health of having a diagnosis of schizophrenia.},
  author       = {Sorgaard, KW and Sandlund, M and Heikkila, J and Hansson, Lars and Vinding, HR and Bjarnason, O and Bengtsson-Tops, A and Merinder, L and Nilsson, Lise-Lotte and Middelboe, T},
  issn         = {1502-4725},
  keyword      = {use of services,schizophrenia},
  language     = {eng},
  number       = {4},
  pages        = {253--261},
  publisher    = {Informa Healthcare},
  series       = {Nordic Journal of Psychiatry},
  title        = {Schizophrenia and contact with health and social services: A Nordic multi-centre study},
  url          = {http://dx.doi.org/10.1080/08039480310002138},
  volume       = {57},
  year         = {2003},
}