Use of general practitioners versus mental health professionals in six European countries: the decisive role of the organization of mental health-care systems
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Use of general practitioners versus mental health professionals in six European countries: the decisive role of the organization of mental health-care systems. / Dezetter, Anne; Briffault, X; Bruffaerts, R; De Graaf, R; Alonso, J; König, H H; Haro, J M; de Girolamo, G; Vilagut, G; Kovess-Masféty, V.
in: SOC PSYCH PSYCH EPID, Jahrgang 48, Nr. 1, 1, 2013, S. 137-149.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Use of general practitioners versus mental health professionals in six European countries: the decisive role of the organization of mental health-care systems
AU - Dezetter, Anne
AU - Briffault, X
AU - Bruffaerts, R
AU - De Graaf, R
AU - Alonso, J
AU - König, H H
AU - Haro, J M
AU - de Girolamo, G
AU - Vilagut, G
AU - Kovess-Masféty, V
PY - 2013
Y1 - 2013
N2 - OBJECTIVE: To 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.METHODS: Data 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).RESULTS: Among 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.CONCLUSIONS: Differences 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.
AB - OBJECTIVE: To 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.METHODS: Data 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).RESULTS: Among 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.CONCLUSIONS: Differences 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.
KW - Adult
KW - Humans
KW - Male
KW - Female
KW - Middle Aged
KW - Adolescent
KW - Questionnaires
KW - Young Adult
KW - Socioeconomic Factors
KW - Psychotherapy
KW - Cross-Cultural Comparison
KW - Health Surveys
KW - Cross-Sectional Studies
KW - Logistic Models
KW - Prevalence
KW - Europe/epidemiology
KW - General Practitioners
KW - Psychiatry
KW - Delivery of Health Care/organization & administration
KW - Physicians
KW - Community Mental Health Services/statistics & numerical data/utilization
KW - Mental Disorders/epidemiology/therapy
KW - National Health Programs/organization & administration
KW - Primary Health Care/statistics & numerical data/utilization
KW - Adult
KW - Humans
KW - Male
KW - Female
KW - Middle Aged
KW - Adolescent
KW - Questionnaires
KW - Young Adult
KW - Socioeconomic Factors
KW - Psychotherapy
KW - Cross-Cultural Comparison
KW - Health Surveys
KW - Cross-Sectional Studies
KW - Logistic Models
KW - Prevalence
KW - Europe/epidemiology
KW - General Practitioners
KW - Psychiatry
KW - Delivery of Health Care/organization & administration
KW - Physicians
KW - Community Mental Health Services/statistics & numerical data/utilization
KW - Mental Disorders/epidemiology/therapy
KW - National Health Programs/organization & administration
KW - Primary Health Care/statistics & numerical data/utilization
U2 - 10.1007/s00127-012-0522-9
DO - 10.1007/s00127-012-0522-9
M3 - SCORING: Journal article
C2 - 22644000
VL - 48
SP - 137
EP - 149
JO - SOC PSYCH PSYCH EPID
JF - SOC PSYCH PSYCH EPID
SN - 0933-7954
IS - 1
M1 - 1
ER -
