September 2020
(1) Diphteria, tetanus and polio
(2) Medicine, Surgery and Obstetrics
Note: The adjusted odds ratio (AOR) reflects the significance of the link between the presence of a severe mental disorder and each indicator of healthcare use after adjustment for the other factors likely to be associated with this use. An aOR equal to 1 reflects the absence of a link between the existence of a severe mental disorder and healthcare use; an aOR higher than 1 indicates a link between the presence of a mental disorder and an increase in health-care use; and an aOR lower than 1 indicates a link between the presence of a severe mental disorder and a de-crease in healthcare use. The more the aOR is far from 1, the greater the significance of the link.
Source: The National Health Data System (SNDS)
Scope: Individuals treated for a severe mental disorder in 2014 who were matched and their controls amongst beneficiaries (aged between 18 and 65) of the French Social Security System (Régime général) and its sub-schemes (SLM, Sections locales mutualistes) who had received treatment, throughout France.
Reading: After adjustment for clinical, socio-economic, and living environment characteristics, the individuals treated for a severe mental disorder generally made less use of preventive healthcare than the general population. They consulted GPs more often but consulted specialists less. Moreover, they are much more concerned than the general population by avoidable hospitalisations, particularly for pathologies such as asthma or diabetes-related complications, which should not have led to hospitalisation if they had been regularly treated by a general practitioner in ambulatory care.
Taken from Gandré C. and Coldefy M. "Less Preventive Healthcare, Fewer Specialist Consultations, and More Avoidable Hospitalisations for Individuals Treated for a Severe Mental Disorder", IRDES, Issues in Health Economics (250), September 2020.