Utilization of somatic healthcare in Croatian patients with schizophrenia spectrum disorder, major depression, PTSD and the general population

Jeleč, Vjekoslav and Bajić, Žarko and Šimunović Filipčić, Ivona and Portolan Pajić, Ivana and Šentija Knežević, Mirela and Miloloža, Ivan and Radić-Krišto, Delfa and Benjak, Tomislav and Jakšić, Nenad and Šagud, Marina and Wang, Wei and Filipčić, Igor (2019) Utilization of somatic healthcare in Croatian patients with schizophrenia spectrum disorder, major depression, PTSD and the general population. BMC Psychiatry, 19 (1). ISSN 1471-244X

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Background: Utilization of somatic healthcare services is highly predictive of the development of chronic physical illnesses and increased mortality risks. The objective of this study was to assess the differences in healthcare utilization among patients with schizophrenia spectrum disorders (SSD), major depressive disorder (MDD) and posttraumatic stress disorder (PTSD) and the general population in Croatia. ----- Methods: We enrolled 566 Croatian participants from the general population, 282 with SSD, 178 with MDD, and 86 with PTSD. The primary outcome was a self-reported specialist consultation for non-psychiatric (e.g., somatic) causes within the previous 12 months. ----- Results: Although SSD patients with chronic physical illnesses were significantly more often hospitalized for physical illness than the general population, the proportion of patients who had a specialist consultation were equal in SSD and the general population. MDD and PTSD patients had significantly higher adjusted odds for specialist consultation than the general population and SSD patients (MDD compared to SSD: OR = 2.14; 95% CI 1.27–3.59; PTSD compared to SSD: OR = 2.03; 95% CI 1.00–4.10). ----- Conclusions: SSD patients’ utilization of somatic healthcare is equal to the general population, despite their increased healthcare needs. However, their utilization is lower than in MDD and PTSD patients and, therefore, probably not adequate.

Item Type: Article
Additional Information: © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Departments: Katedra za psihijatriju i psihološku medicinu
Depositing User: Kristina Berketa
Status: Published
Jeleč, VjekoslavUNSPECIFIED
Šimunović Filipčić, IvonaUNSPECIFIED
Portolan Pajić, IvanaUNSPECIFIED
Šentija Knežević, MirelaUNSPECIFIED
Radić-Krišto, DelfaUNSPECIFIED
Benjak, TomislavUNSPECIFIED
Date: 28 June 2019
Date Deposited: 23 Jan 2020 11:23
Last Modified: 23 Jan 2020 11:23
Subjects: /
Related URLs:
URI: http://medlib.mef.hr/id/eprint/3547

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