Dataset Information

Does the mental health system provide effective coverage to people with schizophrenic disorder? A self-controlled case series study in Italy.

ABSTRACT:

Purpose

To measure indicators of timeliness and continuity of treatments on patients with schizophrenic disorder in 'real-life' practice, and to validate them through their relationship with relapse occurrences.

Methods

The target population was from four Italian regions overall covering 22 million beneficiaries of the NHS (37% of the entire Italian population). The cohort included 12,054 patients newly taken into care for schizophrenic disorder between January 2015 and June 2016. The self-controlled case series (SCCS) design was used to estimate the incidence rate ratio of relapse occurrences according to mental healthcare coverage.

Results

Poor timeliness (82% and 33% of cohort members had not yet started treatment with psychosocial interventions and antipsychotic drug therapy within the first year after they were taken into care) and continuity (27% and 23% of patients were persistent with psychosocial interventions, and antipsychotic drug therapy within the first 2 years after starting the specific treatment) were observed. According to SCCS design, 4794 relapses occurred during 9430 PY (with incidence rate of 50.8 every 100 PY). Compared with periods not covered by mental healthcare, those covered by psychosocial intervention alone, antipsychotic drugs alone and by psychosocial intervention and antipsychotic drugs together were, respectively, associated with relapse rate reductions of 28% (95% CI 4-46%), 24% (17-30%) and 44% (32-53%).

Conclusion

Healthcare administrative data may contribute to monitor and to assess the effectiveness of a mental health system. Persistent use of both psychosocial intervention and antipsychotic drugs reduces risk of severe relapse.

SUBMITTER: Corrao G

PROVIDER: S-EPMC8934324 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Does the mental health system provide effective coverage to people with schizophrenic disorder? A self-controlled case series study in Italy.

Corrao Giovanni G Barbato Angelo A D'Avanzo Barbara B Di Fiandra Teresa T Ferrara Lucia L Gaddini Andrea A Monzio Compagnoni Matteo M Saponaro Alessio A Scondotto Salvatore S Tozzi Valeria D VD Carle Flavia F Lora Antonio A

Social psychiatry and psychiatric epidemiology 20210616 3

<h4>Purpose</h4>To measure indicators of timeliness and continuity of treatments on patients with schizophrenic disorder in 'real-life' practice, and to validate them through their relationship with relapse occurrences.<h4>Methods</h4>The target population was from four Italian regions overall covering 22 million beneficiaries of the NHS (37% of the entire Italian population). The cohort included 12,054 patients newly taken into care for schizophrenic disorder between January 2015 and June 2016. ...[more]

PMID: 34132836

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Dataset Information

Does the mental health system provide effective coverage to people with schizophrenic disorder? A self-controlled case series study in Italy.

Purpose

Methods

Results

Conclusion

Publications

Does the mental health system provide effective coverage to people with schizophrenic disorder? A self-controlled case series study in Italy.

Similar Datasets

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