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Disparities in the Use of General Somatic Care among Individuals Treated for Severe Mental Disorders and the General Population in France

Author

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  • Coralie Gandré

    (Institut de Recherche et Documentation en Économie de la Santé (IRDES), 75019 Paris, France)

  • Magali Coldefy

    (Institut de Recherche et Documentation en Économie de la Santé (IRDES), 75019 Paris, France)

Abstract

Individuals with severe mental illnesses (SMI) face a striking excess and premature mortality which has been demonstrated in several national contexts. This phenomenon, which constitutes a red-flag indicator of public health inequities, can be hypothesized to result from healthcare access issues which have been insufficiently documented so far. In this context, our objective was to explore patterns of general somatic healthcare use of individuals treated for SMI in comparison to those of the general population in France using national health administrative data and a matched case-control study. Differences in the use of general and specific somatic preventive care services, primary care, routine specialized somatic care and admissions to non-psychiatric hospital departments for somatic causes were described between cases and controls after adjustment on differing clinical needs, socio-economic status, and living environment. Our results show a lower use of general preventive care services and of routine specialized somatic care in the SMI population, despite more frequent comorbidities, and a higher occurrence of avoidable hospitalizations, despite higher contacts with primary care physicians. These findings suggest that the health system fails to address the specific needs of this vulnerable population and support the development of measures aimed at reducing this gap.

Suggested Citation

  • Coralie Gandré & Magali Coldefy, 2020. "Disparities in the Use of General Somatic Care among Individuals Treated for Severe Mental Disorders and the General Population in France," IJERPH, MDPI, vol. 17(10), pages 1-16, May.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:10:p:3367-:d:357151
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    References listed on IDEAS

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    1. Daniel Bremer & Daniel Lüdecke & Olaf von dem Knesebeck, 2019. "Social Relationships, Age and the Use of Preventive Health Services: Findings from the German Ageing Survey," IJERPH, MDPI, vol. 16(21), pages 1-14, November.
    2. Frédéric Denis & Karine Goueslard & Francesca Siu-Paredes & Gilles Amador & Emmanuel Rusch & Valérie Bertaud & Catherine Quantin, 2020. "Oral health treatment habits of people with schizophrenia in France: A retrospective cohort study," PLOS ONE, Public Library of Science, vol. 15(3), pages 1-14, March.
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    Cited by:

    1. Nelson Raluthaga & Hilda N. Shilubane & Mygirl Pearl Lowane, 2023. "Relapse among MHCUs after a Short-Term Admission in an Acute Psychiatric Unit: Primary Caregivers’ Perspective," IJERPH, MDPI, vol. 20(2), pages 1-12, January.
    2. Scott B. Teasdale & Sabrina Moerkl & Sonja Moetteli & Annabel Mueller-Stierlin, 2021. "The Development of a Nutrition Screening Tool for Mental Health Settings Prone to Obesity and Cardiometabolic Complications: Study Protocol for the NutriMental Screener," IJERPH, MDPI, vol. 18(21), pages 1-9, October.
    3. Frédéric Denis & Ines Rouached & Francesca Siu-Paredes & Alexis Delpierre & Gilles Amador & Wissam El-Hage & Nathalie Rude, 2021. "Psychometric Properties of the Schizophrenia Oral Health Profile: Preliminary Results," IJERPH, MDPI, vol. 18(17), pages 1-14, August.

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