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Health service use by adults with depression: community survey in five European countries - Evidence from the ODIN study
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File | Description | Size | Format | |
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Health_service_use_by_adults_with_depression.pdf | 314.26 KB |
Date Issued
2006
Date Available
30T08:05:38Z July 2014
Abstract
Background: Little is known about patterns of healthcare use by people with depression in Europe. Aims: To examine the use and cost of services by adults with depressive or adjustment disorders in five European countries, and predictive factors. Method: People aged 18-65 years with depressive or adjustment disorders (n=427) in Ireland, Finland, Norway, Spain and the UK provided information on predisposition (demographics, social support), enablement (country, urban/rural, social function) and need (symptom severity, perceived health status) for services. Outcome measures were self-reported use Client Services Receipt Interview and costs of general practice, generic, psychiatric or social services in the past 6 months. Results: Less frequent use was made of generic services in Norway and psychiatric services in the UK. Severity of depression, perceived health status, social functioning and level of social support were significant predictors of use; the number of people able to provide support was positively associated with greater health service use.
Conclusions: Individual participant factors provided greater explanatory power than national differences in healthcare delivery. The association between social support and service use suggests that interventions may be needed for those who lack social support.
Sponsorship
European Commission
Other Sponsorship
English National Health Service Executive
North West Research and Development Office
Spanish FIS
Wales Office of Research and Development
Norwegian Research Council, Council for Mental Health and Department of Health and Social Welfare
Finnish Pensions Institute of Agricultural Entrepreneurs
Type of Material
Journal Article
Publisher
Royal College of Psychiatrists
Journal
British Journal of Psychiatry
Volume
189
Issue
2006
Start Page
161
End Page
167
Copyright (Published Version)
2006 The Royal College of Psychiatrists
Language
English
Status of Item
Peer reviewed
This item is made available under a Creative Commons License
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