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 12054 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-in-care) and continuity (27% and 23% of patients were persistent with psychosocial interventions, and antipsychotic drug therapy within the first two 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% to 46%), 24% (17% to 30%) and 44% (32% to 53%). CONCLUSIONS: 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.
Corrao, G., Barbato, A., D'Avanzo, B., Di Fiandra, T., Ferrara, L., Gaddini, A., et al. (2021). Does the mental health system provide effective coverage to people with schizophrenic disorder? A self-controlled case series study in Italy. SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY [10.1007/s00127-021-02114-9].
|Citazione:||Corrao, G., Barbato, A., D'Avanzo, B., Di Fiandra, T., Ferrara, L., Gaddini, A., et al. (2021). Does the mental health system provide effective coverage to people with schizophrenic disorder? A self-controlled case series study in Italy. SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY [10.1007/s00127-021-02114-9].|
|Tipo:||Articolo in rivista - Articolo scientifico|
|Carattere della pubblicazione:||Scientifica|
|Presenza di un coautore afferente ad Istituzioni straniere:||No|
|Titolo:||Does the mental health system provide effective coverage to people with schizophrenic disorder? A self-controlled case series study in Italy|
|Autori:||Corrao, G; Barbato, A; D'Avanzo, B; Di Fiandra, T; Ferrara, L; Gaddini, A; Monzio Compagnoni, M; Saponaro, A; Scondotto, S; Tozzi, V; Carle, F; Lora, A|
MONZIO COMPAGNONI, MATTEO (Corresponding)
|Data di pubblicazione:||2021|
|Rivista:||SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1007/s00127-021-02114-9|
|Appare nelle tipologie:||01 - Articolo su rivista|
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