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Depression and mental health visits to physicians--a prospective records-based study

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  • Rhodes, Anne
  • Liisa Jaakkimainen, R.
  • Bondy, Susan
  • Fung, Kinwah

Abstract

Previous studies of access to care for depression have been based on cross-sectional surveys of self-reported use of mental health service use. As the recall of use may be differentially biased by mood states, inferences about how well persons with depression are accessing services in comparison to other groups may be misleading. Accordingly, we estimated the magnitude of the depression-use associations in relation to key covariates based on prospective records of mental health visits to physicians. The sample, N=23,063, of persons 12 years and older, was drawn from the 1996/97 Ontario Health Survey and linked to their administrative mental health care records 24 months forward in time. We found that depression-use associations were in the expected direction but similar in magnitude to associations for gender and education unlike previous self-reported use surveys. Female gender was positively related to the use of a primary care physician but negatively related to seeing a psychiatrist as opposed to a primary care physician. Those who had attained higher levels of education were more likely to be seen by physicians than those with lower education levels. The meaning behind these findings bears further study as it may have implications for primary care reform and the design of future studies of access.

Suggested Citation

  • Rhodes, Anne & Liisa Jaakkimainen, R. & Bondy, Susan & Fung, Kinwah, 2006. "Depression and mental health visits to physicians--a prospective records-based study," Social Science & Medicine, Elsevier, vol. 62(4), pages 828-834, February.
  • Handle: RePEc:eee:socmed:v:62:y:2006:i:4:p:828-834
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    References listed on IDEAS

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    1. Bijl, R.V. & Ravelli, A., 2000. "Psychiatric morbidity, service use, and need for care in the general population: Results of the Netherlands Mental Health Survey and incidence study," American Journal of Public Health, American Public Health Association, vol. 90(4), pages 602-607.
    2. Katz, S.J. & Kessler, R.C. & Frank, R.G. & Leaf, P. & Elizabeth, L. & Edlund, M., 1997. "The use of outpatient mental health services in the United States and Ontario: The impact of mental morbidity and perceived need for care," American Journal of Public Health, American Public Health Association, vol. 87(7), pages 1136-1143.
    3. Schwartz, A.H. & Perlman, B.B. & Paris, M. & Schmidt, K. & Thornton, J.C., 1980. "Psychiatric diagnoses as reported to Medicaid and as recorded in patient charts," American Journal of Public Health, American Public Health Association, vol. 70(4), pages 406-408.
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    Cited by:

    1. Gaddis, S. Michael & Ramirez, Daniel & Hernandez, Erik L., 2018. "Contextualizing public stigma: Endorsed mental health treatment stigma on college and university campuses," Social Science & Medicine, Elsevier, vol. 197(C), pages 183-191.

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