Patterns and predictors of health service use among people with mental disorders in São Paulo metropolitan area, Brazil

• DOI: 10.1017/s2045796016000202
• Publication Date: 2016-04-12T03:22:56Z
• Authors: Y.-P. Wang; A. D. P. Chiavega...; A. M. Campanha; A. M. Malik; M. A. Mogadouro; M. Cambraia; M. C. Viana; L. H. Andrade
• Keywords: Specialty

Important transformations in psychiatric healthcare (HC) delivery have been implemented Latin America during the beginning of 21st century. However, information on current service uses patterns is scant, obstructing estimates and proper planning needs for general population. The investigation aims to describe predictors 12-month HC use by individuals with mental disorders São Paulo metropolitan area, Brazil.Data are from Mental Health Survey, a cross-sectional multistage representative study. Participants were face-to-face interviewed their household, using structured diagnostic interview, World Survey Initiative version Composite International Diagnostic Interview. A total 5037 respondents, non-institutionalised, aged 18 years older interviewed. response rate was 81.3%. We determined percentages DSM-IV anxiety, mood substance that received treatment 12 months prior assessment main sectors (specialty health, medicine, human services (HS), complementary alternative medicine). number visits percentage who at minimally adequacy also estimated. Multilevel regression controlled contextual variables influenced adequacy.Only 10.1% respondents used some problems, including 3.9% them being treated either psychiatrist, 3.5% non-psychiatrist health specialist, 3.3% medical (GM) provider, 1.5% HS provider 1.4% provider. In general, those participants specialty sector reported more than GM (median 3.9 v. 1.5 visits). cases seen outnumber visiting terms adequate (54.6 23.2%). likelihood receiving significantly greater among diagnosed any anxiety disorder, presenting severe disorders, possession insurance.The great majority an active disorder untreated or insufficiently treated. Awareness training programmes professionals advocated improve recognition, care take referral when needed. Proper integration recommended.