Factors Associated With Use of Psychiatrists and Nonpsychiatrist Providers by ESEMeD Respondents in Six European Countries
Por:
Dezetter A, Briffault X, Alonso J, Angermeyer MC, Bruffaerts R, de Girolamo G, De Graaf R, Haro JM, König HH and Kovess-Masfety V
Publicada:
1 feb 2011
Resumen:
Objective: This study analyzed use of services from psychiatrists and
other mental health professionals (psychologists, psychotherapists,
counselors, and social workers) in six European countries. Methods: Data
were from respondents (N=8,796) to the European Study of the
Epidemiology of Mental Disorders (ESEMeD), a cross-sectional survey
(2001-2003) of a representative sample of noninstitutionalized adults in
Belgium, France, Germany, Italy, the Netherlands, and Spain that was
conducted via computer-assisted interviews with the Composite
International Diagnostic Interview, version 3.0. Results: Twenty-three
percent of respondents reported lifetime use of any professional for
mental health problems, and 60% consulted a mental health provider.
Among these, 56% used a psychiatrist and 68% used a nonpsychiatrist
provider. Factors associated with use of psychiatrists only were being
retired or unemployed, having 12 or fewer years of education, living in
France or Spain, having a severe disorder, and using psychotropic
medication. Factors associated with use of nonpsychiatrist providers
only were living in the Netherlands or Germany, never being married, and
having an anxiety disorder. Conclusions: The findings suggest that there
is no simple model of associations between mental health care system and
patterns of service use. System characteristics, such as
practitioner-population ratios, levels of practitioner availability, and
gatekeeping and reimbursement policies, affect patterns of use of mental
health providers. Recent British and Australian plans could be used as
models for better allocation of services in some ESEMeD countries.
(Psychiatric Services 62:143-151, 2011)
Open Access
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