RT Journal Article
T1 Factors associated with use of community mental health services by schizophrenia patients using multilevel analysis
A1 Moreno-Küstner, Berta
A1 Mayoral, Fermín
A1 Rivas, Fabio
A1 Angona, Pedro
A1 Requena, Javier
A1 García-Herrera, José M
A1 Navas, Desiree
A1 Moreno, Patricia
A1 Serrano-Blanco, Antoni
A1 Bellón, Juan A
K1 atención ambulatoria
K1 Servicios Comunitarios de Salud Mental
K1 estudios transversales
K1 Investigación sobre Servicios de Salud
K1 Modelo lineales
K1 Análisis de niveles múltiples
K1 Aceptación de la Atención de Salud
K1 Esquizofrenia
K1 Ïndice de severidad de la enfermedad
K1 Factores de riesgo
K1 Factores Socioeconómicos
K1 España
AB BACKGROUNDPersons 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.METHODSThis 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.RESULTSThe 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).CONCLUSIONSAs 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.
PB BioMed Central
YR 2011
FD 2011-10-07
LK http://hdl.handle.net/10668/957
UL http://hdl.handle.net/10668/957
LA en
NO 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.
NO Journal Article; Research Support, Non-U.S. Gov't;
DS RISalud
RD Apr 8, 2025