Cristin-resultat-ID: 1845918
Sist endret: 25. januar 2021 14:57
NVI-rapporteringsår: 2020
Resultat
Vitenskapelig artikkel
2020

Variation in general practitioners’ depression care following certification of sickness absence: a registry-based cohort study

Bidragsytere:
  • Sharline Riiser
  • Inger Haukenes
  • Valborg Baste
  • Tone Smith-Sivertsen
  • Øystein Hetlevik og
  • Sabine Ruths

Tidsskrift

Family Practice
ISSN 0263-2136
e-ISSN 1460-2229
NVI-nivå 2

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2020
Publisert online: 2020

Klassifisering

Vitenskapsdisipliner

Allmennmedisin

Emneord

Depresjon • Allmennmedisin • Antidepressive midler • Sykefravær

Beskrivelse Beskrivelse

Tittel

Variation in general practitioners’ depression care following certification of sickness absence: a registry-based cohort study

Sammendrag

Background Depression is more prevalent among women and people with low socio-economic status. Uncertainties exist about how general practitioner (GP) depression care varies with patients’ social position. Objective To investigate associations between patients’ gender and educational status combined and GP depression care following certification of sickness absence. Methods Nationwide registry-based cohort study, Norway, 2012–14. Reimbursement claims data from all consultations in general practice for depression were linked with information on socio-demographic data, social security benefits and depression medication. The study population comprised all individuals aged 25–66 years with taxable income, sick-listed with a new depression diagnosis in general practice in 2013 (n = 8857). We defined six intersectional groups by combining educational level and gender. The outcome was type of GP depression care during sick leave: follow-up consultation(s), talking therapy, medication and referral to secondary care. Associations between intersectional groups and outcome were estimated using generalized linear models. Results Among long-term absentees (17 days or more), highly educated women were less likely to receive medication compared to all other patient groups [relative risk (RR) ranging from 1.17 (95% confidence interval 1.03–1.33) to 1.49 (1.29–1.72)] and more likely to receive talking therapy than women with medium [RR = 0.90 (0.84–0.98)] or low [RR = 0.91 (0.85–0.98)] education. Conclusions Our findings suggest that GPs provide equitable depression care regarding consultations and referrals for all intersectional groups but differential drug treatment and talking therapy for highly educated women. GPs need to be aware of these variations to provide personalized care and to prevent reproducing inequity.

Bidragsytere

Sharline Riiser

  • Tilknyttet:
    Forfatter
    ved Institutt for global helse og samfunnsmedisin ved Universitetet i Bergen
  • Tilknyttet:
    Forfatter
    ved NORCE Helse - Allmennmedisin ved NORCE Norwegian Research Centre AS

Inger Haukenes

  • Tilknyttet:
    Forfatter
    ved NORCE Helse - Allmennmedisin ved NORCE Norwegian Research Centre AS
  • Tilknyttet:
    Forfatter
    ved Institutt for global helse og samfunnsmedisin ved Universitetet i Bergen

Valborg Baste

  • Tilknyttet:
    Forfatter
    ved NORCE Helse - Allmennmedisin ved NORCE Norwegian Research Centre AS

Tone Smith-Sivertsen

  • Tilknyttet:
    Forfatter
    ved Divisjon psykisk helsevern ved Helse Bergen HF - Haukeland universitetssykehus
  • Tilknyttet:
    Forfatter
    ved NORCE Helse - Allmennmedisin ved NORCE Norwegian Research Centre AS

Øystein Hetlevik

  • Tilknyttet:
    Forfatter
    ved Institutt for global helse og samfunnsmedisin ved Universitetet i Bergen
  • Tilknyttet:
    Forfatter
    ved NORCE Helse - Allmennmedisin ved NORCE Norwegian Research Centre AS
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