2026-07-21T17:49:17Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/170182025-05-29T07:27:39Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16927

00925njm 22002777a 4500 dc Moreno-Küstner, Berta author Mayoral, Fermín author Rivas, Fabio author Angona, Pedro author Requena, Javier author García-Herrera, José M author Navas, Desiree author Moreno, Patricia author Serrano-Blanco, Antoni author Bellón, Juan A author 2011-10-07 BACKGROUND: Persons with schizophrenia and related disorders may be particularly sensitive to a number of determinants of service use, including those related with illness, socio-demographic characteristics and organizational factors. The objective of this study is to identify factors associated with outpatient contacts at community 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 of outpatient consultations during one year. Independent variables were related to socio-demographic, clinical and use of service factors. Data were collected from clinical records. RESULTS: The multilevel linear regression model explained 46.35% of the variance. Patients with significantly more contacts with ambulatory services were not working and were receiving welfare benefits (p = 0.02), had no formal education (p = 0.02), had a global level of severity of two or three (four being the most severe) (p < 0.001), with one or more inpatient admissions (p < 0.001), and in contact with both types of professional (nurses and psychiatrists) (p < 0.001). The patients with the fewest ambulatory contacts were those with diagnoses of persistent delusional 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 proxies for severity of illness. The most surprising finding, however, was that a group of four psychiatrists was also independently associated with use of ambulatory services by patients with schizophrenia or related disorders. More research is needed to carefully examine how professional support networks interact to affect use of mental health. 10.1186/1472-6963-11-257 1472-6963 BMC Health Services Research http://hdl.handle.net/10668/957 21982430 http://hdl.handle.net/20.500.12105/17018 Atención ambulatoria Servicios Comunitarios de Salud Mental Estudios transversales Investigación sobre Servicios de Salud Modelo lineales Análisis de niveles múltiples Aceptación de la Atención de Salud Esquizofrenia Ïndice de severidad de la enfermedad Factores de riesgo Factores socioeconómicos España Factors associated with use of community mental health services by schizophrenia patients using multilevel analysis