Dropout from outpatient mental health care: results from the Israel National Health Survey

被引:6
|
作者
Lerner, Yaacov [1 ]
Levinson, Daphna [2 ]
机构
[1] Kfar Shaul Hosp, Falk Inst Mental Hlth Studies, IL-91060 Jerusalem, Israel
[2] Minist Hlth, Mental Hlth Serv, Jerusalem, Israel
关键词
Nonpsychotic mental disorders; Mental health services; General medical care; Dropout; PERCEIVED NEED; UNITED-STATES; SERVICE UTILIZATION; ANXIETY DISORDERS; ADULTS; MOOD; PREVALENCE; DEPRESSION; ATTRITION; ATTITUDES;
D O I
10.1007/s00127-011-0402-8
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
To examine the dropout rates from outpatient mental health treatment in the general medical and mental health sectors and to identify the predictors of dropout. The study population was extracted from the Israel National Health Survey. The analysis was related to 12-month service utilization for mental health reasons. The total dropout rate from mental health treatment was 24%, but differed between sectors. The dropout rate from general medical care was 32, and 22% from mental health care. In the general medical care sector, 30% ended treatment within two visits, while only 10% did so in the mental health-care sector. Chronic health condition, but not severity of psychiatric disorder, predicted dropout in the mental health sector. The higher rate of early dropout in general medical care may be related to the brevity of general medical visits and/or the inexperience of primary care physicians, which limits the opportunity to develop patient-physician rapport. Providers of services will have to promote education programs for GPs and allocate proper time to psychiatric patients. The sample, although based on a national representative cohort, was small and limited the number of independent variables that could be examined.
引用
收藏
页码:949 / 955
页数:7
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