dc.contributor.author | Abebe, Dawit Shawel | |
dc.contributor.author | Elstad, Jon Ivar | |
dc.contributor.author | Lien, Lars | |
dc.coverage.spatial | Norway | en_US |
dc.date.accessioned | 2020-03-11T13:07:03Z | |
dc.date.available | 2020-03-11T13:07:03Z | |
dc.date.created | 2018-11-20T09:44:35Z | |
dc.date.issued | 2018 | |
dc.identifier.citation | BMC Health Services Research. 2018, 18:852 1-7. | en_US |
dc.identifier.issn | 1472-6963 | |
dc.identifier.uri | https://hdl.handle.net/11250/2646411 | |
dc.description.abstract | BACKGROUND:
Amongst psychiatric patients, the leading causes of reduced quality of life and premature death are chronic viral infections and cardiovascular diseases. In spite of this, there are extremely high levels of disparity in somatic healthcare amongst such populations. Little research has explored patterns of healthcare utilisation and, therefore, this study aims to examine the use of somatic specialist healthcare for infectious diseases and diseases of circulatory system among psychiatric patients from different immigrant groups and ethnic Norwegians.
METHODS:
Register data from the Norwegian Patient Registry and Statistics Norway were used. The sample (ages 0-90+) consisted of 276,890 native-born Norwegians and 52,473 immigrants from five world regions - Western countries, East Europe, Africa, Asia, and Latin America, all of whom had contacts with specialist mental healthcare during the period 2008-2011. Statistical analyses were applied using logistic regression models.
RESULTS:
Rates of outpatient consultation for circulatory system diseases were significantly lower amongst patients from Africa, Asia and Latin America compared with ethnic Norwegian psychiatric patients. Only patients from Eastern Europeans had a higher rate. With regard to hospital admission, all psychiatric patients had a lower rate than ethnic Norwegians with the exception of those from Africa where the finding was non-significant. In terms of infectious diseases, patients from African countries had significantly higher outpatient and admission rates than ethnic Norwegians. Outpatient consultation rates were lower amongst those from Western and Latin America and hospital admission rates were lower amongst those from Eastern Europe and Asia.
CONCLUSIONS:
The findings suggest that the majority of immigrant psychiatric patients have lower hospitalization rates for circulatory system diseases than Norwegian psychiatric patients. This may suggest that poor access for immigrants is a contributing factor, though the findings were less pronounced for infectious diseases. | en_US |
dc.description.sponsorship | This study is part of the postdoc research project “Patterns and courses of somatic illness and the utilization of health services among patients with substance use disorders and/or mental disorders in Norway”, funded by the Southern and Eastern Norway Regional Health Authority (project number 150901). The funder had no role in the study design, data collection and analysis, and interpretation of data and in writing the manuscript. | en_US |
dc.language.iso | eng | en_US |
dc.rights | Navngivelse 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/deed.no | * |
dc.subject | Circulatory diseases; | en_US |
dc.subject | Health care; | en_US |
dc.subject | Immigrant; | en_US |
dc.subject | Infectious diseases; | en_US |
dc.subject | Mental disorder; | en_US |
dc.subject | Register study; | en_US |
dc.subject | Specialist services | en_US |
dc.title | Utilization of somatic specialist services among psychiatric immigrant patients: the Norwegian patient registry study | en_US |
dc.type | Peer reviewed | en_US |
dc.type | Journal article | en_US |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | © The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0
International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and
reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to
the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver
(http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. | en_US |
dc.source.pagenumber | 1-7 | en_US |
dc.source.volume | 18:852 | en_US |
dc.source.journal | BMC Health Services Research | en_US |
dc.source.issue | 1 | en_US |
dc.identifier.doi | 10.1186/s12913-018-3672-y | |
dc.identifier.cristin | 1632465 | |
cristin.unitcode | 1991,9,2,0 | |
cristin.unitname | Avd Rusrelatert psykiatri og avhengighet | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 2 | |