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Use of Mental Health Services for Patients Diagnosed with Major Depressive Disorders in Primary Care

Author

Listed:
  • Laura González-Suñer

    (Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, 08830 Barcelona, Spain)

  • Cristina Carbonell-Duacastella

    (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)

  • Ignacio Aznar-Lou

    (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)

  • Maria Rubio-Valera

    (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)

  • Maria Iglesias-González

    (Hospital Universitari Germans Trias i Pujol, 08916 Badalona, Spain)

  • Maria Teresa Peñarrubia-María

    (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)

  • Montserrat Gil-Girbau

    (Teaching, Research & Innovation Unit, Institut de Recerca Sant Joan de Déu, Sant Boi de Llobregat, 08830 Barcelona, Spain)

  • Antoni Serrano-Blanco

    (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)

Abstract

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.

Suggested Citation

  • Laura González-Suñer & Cristina Carbonell-Duacastella & Ignacio Aznar-Lou & Maria Rubio-Valera & Maria Iglesias-González & Maria Teresa Peñarrubia-María & Montserrat Gil-Girbau & Antoni Serrano-Blanco, 2021. "Use of Mental Health Services for Patients Diagnosed with Major Depressive Disorders in Primary Care," IJERPH, MDPI, vol. 18(3), pages 1-13, January.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:3:p:885-:d:484059
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    References listed on IDEAS

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    1. Paul Dolan & Claire Gudex & Paul Kind & Alan Williams, 1995. "A social tariff for EuroQol: results from a UK general population survey," Working Papers 138chedp, Centre for Health Economics, University of York.
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    1. Emma Motrico & Jose A. Salinas-Perez & Maria Luisa Rodero-Cosano & Sonia Conejo-Cerón, 2021. "Editors’ Comments on the Special Issue “Social Determinants of Mental Health”," IJERPH, MDPI, vol. 18(8), pages 1-9, April.

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