scholarly journals Comorbidity and healthcare use for individuals with CVD in the Ireland: a cross-sectional, population-based study

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e025305 ◽  
Author(s):  
Karyn Morrissey
Keyword(s):  
Health Service ◽  
Service Use ◽  
Household Survey ◽  
Population Based ◽  
Health Service Use ◽  
Cross Sectional Survey ◽  
Service Usage ◽  
Cross Sectional ◽  
National Household Survey ◽  
Nationally Representative

ObjectiveThis study explores the factors associated with health service use for individuals with cardiovascular disease (CVD) and comorbidity in the Ireland.DesignPopulation-based cross-sectional survey.SettingNationally representative health and health service use survey from the 2010 Quarterly National Household Survey was analysed.Primary outcome measuresFour outcome variables were examined: no CVD, CVD only, CVD with CVD-related comorbidities and CVD with non-CVD-related comorbidity.ResultsOf the 791 individuals reporting doctor-diagnosed CVD, 77% had a second morbidity. Using type of healthcare coverage as a proxy for socioeconomic status, both CVD-related and non CVD-related comorbidity increases the use of health service usage substantially for individuals with CVD, particularly general practitioner services (8.47, CI 4.49 to 15.96 and 5.20, CI 2.10 to 12.84) and inpatient public hospital care (3.64, CI 2.93 to 4.51 and 3.00, CI 2.11 to 4.26).ConclusionThis study indicated that even when demographic and socioeconomic factors are controlled for, comorbidity significantly increases the risk of accessing health services for individuals with CVD.

scholarly journals Survey on the use of health services by adult men: prevalence rates and associated factors

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Guilherme Oliveira de Arruda ◽  
Sonia Silva Marcon
Keyword(s):  
Health Service ◽  
Health Services ◽  
Associated Factors ◽  
Service Use ◽  
Population Based ◽  
Health Service Use ◽  
Cross Sectional ◽  
Adult Men ◽  
Curative Care ◽  
Use Of Health Services

Objective estimate the prevalence and identify factors associated with the use of health services by men between 20 and 59 years of age. Method population-based, cross-sectional domestic survey undertaken with 421 adult men, selected through systematic random sampling. The data were collected through a structured instrument and analyzed using descriptive and inferential statistics with multiple logistic regression. Results the prevalence rate of health service use during the three months before the interviews was 42.8%, being higher among unemployed men with a religious creed who used private hospitals more frequently, had been hospitalized in the previous 12 months and referred some disease. Conclusion the prevalence of health service use by adult men does not differ from other studies and was considered high. It shows to be related with the need for curative care, based on the associated factors found.

scholarly journals Prevalence of symptoms, ever having received a diagnosis and treatment of depression and anxiety, and associations with health service use amongst the general population in two Russian cities

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Sarah Cook ◽  
Alexander V. Kudryavtsev ◽  
Natalia Bobrova ◽  
Lyudmila Saburova ◽  
Diana Denisova ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Health Service ◽  
Service Use ◽  
Common Mental Disorders ◽  
Population Based ◽  
Diagnosis And Treatment ◽  
Health Service Use ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Current Medication

Abstract Background Little is known about the burden of common mental disorders in Russia despite high levels of suicide and alcohol-related mortality. Here we investigated levels of symptoms, self-reports of ever having received a diagnosis and treatment of anxiety and depression in two Russian cities. Methods The study population was men and women aged 35–69 years old participating in cross-sectional population-based studies in the cities of Arkhangelsk and Novosibirsk (2015–18). Participants completed an interview which included the PHQ-9 and GAD-7 scales, questions on whether participants had ever received a diagnosis of depression or anxiety, and health service use in the past year. Participants also reported current medication use and medications were coded in line with the WHO anatomical therapeutic classification (ATC). Depression was defined as PHQ-9 ≥ 10 and Anxiety as GAD-7 ≥ 10. Results Age-standardised prevalence of PHQ-9 ≥ 10 was 10.7% in women and 5.4% in men (GAD-7 ≥ 10 6.2% in women; 3.0% in men). Among those with PHQ-9 ≥ 10 17% reported ever having been diagnosed with depression (equivalent finding for anxiety 29%). Only 1.5% of those with PHQ-9 ≥ 10 reported using anti-depressants and 0.6% of those with GAD-7 ≥ 10 reported using anxiolytics. No men with PHQ-9 ≥ 10 and/or GAD-7 ≥ 10 reported use of anti-depressants or anxiolytics. Use of health services increased with increasing severity of both depression and anxiety. Conclusion There was a large gap between symptoms and reporting of past diagnosis and treatment of common mental disorders in two Russian cities. Interventions aimed at improving mental health literacy and reducing stigma could be of benefit in closing this substantial treatment gap.

scholarly journals Acute mental health service use is increased in rheumatoid arthritis and ankylosing spondylitis: a population-based cohort study

2020 ◽  
Vol 12 ◽  
pp. 1759720X2092171
Author(s):  
Bindee Kuriya ◽  
Vivian Tia ◽  
Jin Luo ◽  
Jessica Widdifield ◽  
Simone Vigod ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Mental Health ◽  
Ankylosing Spondylitis ◽  
Health Service ◽  
Service Use ◽  
Population Based ◽  
System Level ◽  
Health Service Use ◽  
Increased Risk ◽  
Ed Visits

Background: Rheumatoid arthritis (RA) and ankylosing spondylitis (AS) are associated with mental illness. Whether acute mental health (MH) service utilization (i.e. emergency visits or hospitalizations) is increased in RA or AS is not known. Methods: Two population-based cohorts were created where individuals with RA ( n = 53,240) or AS ( n = 13,964) were each matched by age, sex, and year to unaffected comparators (2002–2016). Incidence rates per 1000 person-years (PY) were calculated for a first MH emergency department (ED) presentation or MH hospitalization. Hazard ratios (HR) and 95% confidence intervals (CI) were calculated, adjusting for demographic, clinical, and health service use variables. Results: Individuals with RA had higher rates of ED visits [6.59/1000 person-years (PY) versus 4.39/1000 PY in comparators] and hospitalizations for MH (3.11/1000 PY versus 1.80/1000 PY in comparators). Higher rates of ED visits (7.92/1000 PY versus 5.62/1000 PY in comparators) and hospitalizations (3.03/1000 PY versus 1.94/1000 PY in comparators) were also observed in AS. Overall, RA was associated with a 34% increased risk for MH hospitalization (HR 1.34, 95% CI 1.22–1.47) and AS was associated with a 36% increased risk of hospitalization (HR 1.36, 95% CI 1.12–1.63). The risk of ED presentation was attenuated, but remained significant, after adjustment in both RA (HR 1.08, 95% CI 1.01–1.15) and AS (HR 1.14, 95% CI 1.02–1.28). Conclusions: RA and AS are both independently associated with a higher rate and risk of acute ED presentations and hospitalizations for mental health conditions. These findings underscore the need for routine evaluation of MH as part of the management of chronic inflammatory arthritis. Additional research is needed to identify the underlying individual characteristics, as well as system-level variation, which may explain these differences, and to help plan interventions to make MH service use more responsive to the needs of individuals living with RA and AS.

scholarly journals Mental Health Service Use Among Children and Youth in Ontario: Population-Based Trends Over Time

2016 ◽  
Vol 61 (2) ◽  
pp. 119-124 ◽  
Author(s):  
Sima Gandhi ◽  
Maria Chiu ◽  
Kelvin Lam ◽  
John C. Cairney ◽  
Astrid Guttmann ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Service Use ◽  
Population Based ◽  
Children And Youth ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
Trends Over Time ◽  
Over Time

scholarly journals Health service use by patients with heart failure living in a community setting: a cross-sectional analysis in North West London

2020 ◽  
Vol 70 (697) ◽  
pp. e563-e572
Author(s):  
Dani Kim ◽  
Benedict Hayhoe ◽  
Paul Aylin ◽  
Martin R Cowie ◽  
Alex Bottle
Keyword(s):  
Heart Failure ◽  
Health Service ◽  
Secondary Care ◽  
Service Use ◽  
Community Setting ◽  
Health Service Use ◽  
Cross Sectional ◽  
North West ◽  
Usage Patterns ◽  
Sectional Analysis

BackgroundThe complex nature of heart failure (HF) management, often involving multidimensional care, is widely recognised, but overall health service utilisation by patients with HF has not previously been described.AimTo describe overall health service use by adults with HF living in a community setting.Design and settingCross-sectional analysis of prevalent HF cases from January 2015 to December 2018 using an administrative dataset covering primary and secondary care, and ‘other’ (community, mental health, social care) services in North West London.MethodHealthcare use of each service was described overall and by individual components of secondary care (such as, outpatient appointments), and ‘other’ services (such as, nursing contacts). Usage patterns were identified using k-means cluster analysis, using all distinct contacts for the whole study period, and visualised with a heatmap.ResultsA total of 39 301 patients with a prevalent diagnosis of HF between 1 January 2015 and 31 December 2018 were found. Of those, approximately 90% used health services during the study period, most commonly outpatient services, GP consultations, unplanned accident and emergency visits, and community services. Use of cardiology-specific services ranged from around 3% (cardiology-related community care) to around 20% (outpatient cardiology visits). GP consultations decreased by 11% over the study period. Five clusters of patients were identified, each with statistically significantly different care usage patterns and patient characteristics.ConclusionPatients with HF make heavy but heterogeneous use of services. Relatively low and falling use of GP consultations, and the apparently low uptake of community rehabilitation services by patients with HF, is concerning and suggests challenges in primary care access and integration of care.

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