Use of general practitioners versus mental health professionals in six European countries: the decisive role of the organization of mental ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2012-05-31

AUTHORS

Anne Dezetter, X. Briffault, R. Bruffaerts, R. De Graaf, J. Alonso, H. H. König, J. M. Haro, G. de Girolamo, G. Vilagut, V. Kovess-Masféty

ABSTRACT

ObjectiveTo investigate patterns of use of general practitioners (GPs) and/or mental health professionals (MHPs) for mental health reasons, across six European countries, and the extent to which these patterns of use are associated with differences in mental health-care delivering systems.MethodsData are based on the European Study of the Epidemiology of Mental Disorders (ESEMeD): a cross-sectional survey of a representative sample of 8,796 non-institutionalized adults from six European countries, conducted between 2001 and 2003 using computer-assisted interviews with the CIDI-3.0. Countries were classified into: MHP− for countries where access to medical professionals tends to predominate (Belgium, France, Italy), and MHP+ where access to non-medical MHPs predominates (Germany, Spain, The Netherlands).ResultsAmong respondents consulting GPs and/or MHPs in the past year (n = 1,019), respondents from the MHP− group more often consulted GPs (68 vs. 55 % in MHP+ group), GPs and psychiatrists (23 vs. 14 %). People from the MHP+ group more often used MHPs only (45 vs. 32 %), GPs and non-medical MHPs (16 vs. 8 %). GPs from the MHP+ group were more inclined to refer patients to MHPs. Factors associated with use of GPs versus MHPs were: being over 49 years, not highly educated, lower income and suffering from mood or severe mental disorders.ConclusionsDifferences in the use of GPs versus MHPs are markedly linked to individual as well as organizational factors. Interventions are needed, in countries fostering medical access, to reimburse sessions with non-medical MHPs and improve cooperation between professionals to obtain better practice in access to care. More... »

PAGES

137-149

References to SciGraph publications

Journal

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00127-012-0522-9

DOI

http://dx.doi.org/10.1007/s00127-012-0522-9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1010319689

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22644000


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36 schema:description ObjectiveTo investigate patterns of use of general practitioners (GPs) and/or mental health professionals (MHPs) for mental health reasons, across six European countries, and the extent to which these patterns of use are associated with differences in mental health-care delivering systems.MethodsData are based on the European Study of the Epidemiology of Mental Disorders (ESEMeD): a cross-sectional survey of a representative sample of 8,796 non-institutionalized adults from six European countries, conducted between 2001 and 2003 using computer-assisted interviews with the CIDI-3.0. Countries were classified into: MHP− for countries where access to medical professionals tends to predominate (Belgium, France, Italy), and MHP+ where access to non-medical MHPs predominates (Germany, Spain, The Netherlands).ResultsAmong respondents consulting GPs and/or MHPs in the past year (n = 1,019), respondents from the MHP− group more often consulted GPs (68 vs. 55 % in MHP+ group), GPs and psychiatrists (23 vs. 14 %). People from the MHP+ group more often used MHPs only (45 vs. 32 %), GPs and non-medical MHPs (16 vs. 8 %). GPs from the MHP+ group were more inclined to refer patients to MHPs. Factors associated with use of GPs versus MHPs were: being over 49 years, not highly educated, lower income and suffering from mood or severe mental disorders.ConclusionsDifferences in the use of GPs versus MHPs are markedly linked to individual as well as organizational factors. Interventions are needed, in countries fostering medical access, to reimburse sessions with non-medical MHPs and improve cooperation between professionals to obtain better practice in access to care.
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44 ConclusionsDifferences
45 European countries
46 European studies
47 MHPs predominates
48 MethodsData
49 ObjectiveTo
50 ResultsAmong respondents
51 access
52 adults
53 best practices
54 care
55 computer-assisted interviews
56 cooperation
57 countries
58 cross-sectional survey
59 decisive role
60 delivering system
61 differences
62 disorders
63 epidemiology
64 extent
65 factors
66 general practitioners
67 group
68 health care system
69 health professionals
70 health reasons
71 health-care delivering systems
72 income
73 individuals
74 intervention
75 interviews
76 low income
77 medical access
78 medical professionals
79 mental disorders
80 mental health care system
81 mental health professionals
82 mental health reasons
83 mental health-care delivering systems
84 mood
85 non-institutionalized adults
86 non-medical MHPs
87 non-medical MHPs predominates
88 organization
89 organizational factors
90 past year
91 patients
92 patterns
93 patterns of use
94 people
95 practice
96 practitioners
97 predominate
98 professionals
99 psychiatrists
100 reasons
101 representative sample
102 respondents
103 role
104 samples
105 sessions
106 severe mental disorders
107 study
108 suffering
109 survey
110 system
111 use
112 use of GPs
113 years
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