Access to and satisfaction with care comparing patients with and without serious mental illness.

Access to and satisfaction with care comparing patients with and without serious mental illness. Research Abstract Details 

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Access to and satisfaction with care comparing patients with and without serious mental illness. Abstract Text:

Amy M Kilbourne,John F McCarthy,Edward P Post,Deborah Welsh,Harold Alan Pincus,Mark S Bauer,Frederic C Blow,

OBJECTIVES: We compared perceived access to and satisfaction with health care between patients diagnosed with serious mental illness (SMI: schizophrenia or bipolar disorder) and among those with no SMI diagnosis. METHOD: We conducted a national, cross-sectional study of VA patients in Fiscal Year (FY) 1999 (N = 7,187) who completed the VA's Large Health Survey of Veteran Enrollees (LHSV) section on access and satisfaction and either received a diagnosis of schizophrenia or bipolar disorder, or did not and were randomly selected from the general non-SMI VA patient population (non-SMI group). We compared the probability of perceived poor access and dissatisfaction using multivariable logistic regression adjusting for patient covariates. RESULTS: Compared to non-SMI patients, patients diagnosed with bipolar disorder were more likely to report difficulty in receiving care they needed (adjusted OR = 1.36,p < .05) or seeing a specialist (adjusted OR = 1.44, p < .001). Patients diagnosed with schizophrenia were more likely to report dissatisfaction, including thoroughness by their provider (adjusted OR = 1.37, p < .001) and the provider's explanation of problems (adjusted OR = 1.54, p < .001) compared to non-SMI patients. CONCLUSIONS: Patients diagnosed with bipolar disorder reported greater problems with access to health care, while those diagnosed with schizophrenia were less satisfied with the process of care.

Access to and satisfaction with care comparing patients with and without serious mental illness. Publishing Authors By Initials

AM Kilbourne,JF McCarthy,EP Post,D Welsh,HA Pincus,MS Bauer,FC Blow,

For similar persons: veterans research abstracts see: persons: veterans research

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Access to and satisfaction with care comparing patients with and without serious mental illness. Journal Published:

PUBLICATION TYPE: Research Support, U.S. Gov't,

Journal: International journal of psychiatry in medicine

VOLUME: 36

Page Numbers: 383-99

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ISSN: 0091-2174

DAY: 3

MONTH: 12

YEAR: 2006

Access to and satisfaction with care comparing patients with and without serious mental illness. Information

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LANGUAGE: eng

NlmUniqueID: 365646

Access to and satisfaction with care comparing patients with and without serious mental illness. Keywords Mesh Terms:

KEYWORDS: Veterans

MESH TERMS: statistics & numerical data

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Grant and Affiliation Information for Access to and satisfaction with care comparing patients with and without serious mental illness.

AFFILIATION: VA Pittsburgh Center for Health Equity Research and Promotion, USA. Amy.Kilbourne@gmail.com

Country: United States

AGENCY: United States NIMH

GRANT: K23 MH001879

ACRONYM: MH

MEDLINETA: Int J Psychiatry Med

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