RT Journal Article
T1 Factors associated with use of community mental health services by schizophrenia patients using multilevel analysis
A1 Moreno Küstner, Berta
A1 Mayoral, Fermín
A1 Rivas, Fabio
A1 Angona, Pedro
A1 Requena, Javier
A1 García-Herrera, José María
A1 Navas, Desirée
A1 Moreno, Patricia
A1 Serrano, Antoni
A1 Bellón, Juan A
K1 Esquizofrenia
K1 Salud mental, Servicios comunitarios de
AB Background: Persons with schizophrenia and related disorders may be particularly sensitive to a number ofdeterminants of service use, including those related with illness, socio-demographic characteristics andorganizational factors. The objective of this study is to identify factors associated with outpatient contacts atcommunity mental health services of patients with schizophrenia or related disorders.Methods: This cross-sectional study analyzed 1097 patients. The main outcome measure was the total number ofoutpatient consultations during one year. Independent variables were related to socio-demographic, clinical anduse of service factors. Data were collected from clinical records.Results: The multilevel linear regression model explained 46.35% of the variance. Patients with significantly morecontacts with ambulatory services were not working and were receiving welfare benefits (p = 0.02), had no formaleducation (p = 0.02), had a global level of severity of two or three (four being the most severe) (p < 0.001), withone or more inpatient admissions (p < 0.001), and in contact with both types of professional (nurses andpsychiatrists) (p < 0.001). The patients with the fewest ambulatory contacts were those with diagnoses of persistentdelusional disorders (p = 0.04) and those who were attended by four of the 13 psychiatrists (p < 0.001).Conclusions: As expected, the variables that explained the use of community service could be viewed as proxiesfor severity of illness. The most surprising finding, however, was that a group of four psychiatrists was alsoindependently associated with use of ambulatory services by patients with schizophrenia or related disorders. Moreresearch is needed to carefully examine how professional support networks interact to affect use of mental health.
YR 2011
FD 2011-10-07
LK https://hdl.handle.net/10630/33622
UL https://hdl.handle.net/10630/33622
LA eng
NO Moreno-Küstner et al.: Factors associated with use of community mental health services by schizophrenia patients using multilevel analysis. BMC Health Services Research 2011 11:257. doi:10.1186/1472-6963-11-257
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 20 ene 2026