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Cited by 197Mental Health Treatment and AccessPsychiatric care and mental health servicesSchizophrenia research and treatment

Use of General Medical Services by VA Patients With Psychiatric Disorders

Cradock-O'Leary, Julie, Young, Alexander S., Yano, Elizabeth M., Wang, Mingming, Lee, Martin L.·2002·Psychiatric Services
DOI 10.1176/appi.ps.53.7.874
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Abstract

Objective Patients with psychiatric disorders, particularly those with severe mental illnesses, have high rates of undetected and untreated medical problems and substantially elevated mortality rates due to medical illness. The authors sought to develop a better understanding of the demographic, medical, and psychiatric characteristics of this population to inform efforts to improve the medical care of these persons. Methods Using Department of Veterans Affairs (VA) databases, the authors examined use of medical services by 175,653 patients who were treated in Southern California and Nevada during fiscal year 2000. Multivariate regression models were used to examine factors affecting receipt of any medical care and the number of medical visits. Results Patients with psychiatric diagnoses had fewer medical visits than other VA patients; the largest differences were seen for patients with severe mental illnesses. Patients who were younger and male had few visits. Patients with diabetes or hypertension who had been diagnosed as having schizophrenia, bipolar disorder, or an anxiety disorder had substantially fewer visits than those who did not have these psychiatric diagnoses. Patients older than 50 years were less likely to have any medical care if they had a diagnosis of a substance use, depressive, bipolar, or anxiety disorder or posttraumatic stress disorder. Conclusions Use of medical care varies by psychiatric diagnosis. Young adults with schizophrenia and posttraumatic str…

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  • Patients with a psychiatric disorder tend to use medical services to a lesser degree, which could lead to increased mortality.

    “Furthermore, patients with a psychiatric disorder tend to use medical services to a lesser degree, which could lead to an increased mortality (Cradock-O' Leary et al. 2002).”

    From Excess early mortality in schizophrenia. (2014) · cites this paper as Cradock-O' Leary et al. 2002

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Authors
Cradock-O'Leary, J., Young, A. S., Yano, E. M., Wang, M., & Lee, M. L.
ORCID
Venue
Psychiatric Services
Publisher
American Psychiatric Association Publishing
Published
2002-07
Volume
53
Issue
7
Pages
874-878
ISSN
  • 0022-1597 (ISSN-L)
  • 1075-2730
  • 1557-9700
DOI
10.1176/appi.ps.53.7.874
OpenAlex
W2171100052
Cited by
197
References
1
Citations by year
2024: 5 · 2023: 2 · 2022: 6 · 2021: 5 · 2020: 1 · 2019: 6 · 2018: 4 · 2017: 8 · 2016: 10 · 2015: 10 · 2014: 13 · 2013: 10 · 2012: 14
FWCI
17.86
Type
journal article
Language
en
Open access
closed
Locations
  • Psychiatric Services (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Mental Health (P50-MH54623, P50MH054623)
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Keywords
mental illness, severe mental illness, veterans, medical visits, schizophrenia, bipolar disorder, post-traumatic stress disorder, anxiety disorders, substance use disorders, depression, diabetes mellitus, hypertension, age and sex differences
MeSH terms
Mental Disorders, Diabetes Mellitus, Female, Forecasting, Health Services, Humans, Hypertension, Male, Middle Aged, United States, United States Department of Veterans Affairs, Veterans, Odds Ratio

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