Cristin-resultat-ID: 1923982
Sist endret: 5. august 2021, 08:24
NVI-rapporteringsår: 2021
Resultat
Vitenskapelig artikkel
2021

Trends in treatment for patients with depression in general practice in Norway, 2009–2015: nationwide registry-based cohort study (The Norwegian GP-DEP Study)

Bidragsytere:
  • Sabine Ruths
  • Inger Haukenes
  • Øystein Hetlevik
  • Tone Smith-Sivertsen
  • Stefan Hjørleifsson
  • Anneli Borge Hansen
  • mfl.

Tidsskrift

BMC Health Services Research
ISSN 1472-6963
e-ISSN 1472-6963
NVI-nivå 2

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2021
Publisert online: 2021
Open Access

Importkilder

Scopus-ID: 2-s2.0-85110616067

Klassifisering

Vitenskapsdisipliner

Allmennmedisin • Helsetjeneste- og helseadministrasjonsforskning

Emneord

Registerstudier • Mental helse • Depresjon • Allmennmedisin • Psykoterapi • Helsetjenesteforskning • Fastlege • Legemiddelbehandling

HRCS

  • Helsekategori: 10 - Mental helse
    Aktivitet: 8 - Helse- og sosialtjenesteforskning

Beskrivelse Beskrivelse

Tittel

Trends in treatment for patients with depression in general practice in Norway, 2009–2015: nationwide registry-based cohort study (The Norwegian GP-DEP Study)

Sammendrag

Background: Depression is highly prevalent, but knowledge is scarce as to whether increased public awareness and strengthened government focus on mental health have changed how general practitioners (GPs) help their depressed patients. This study aimed to examine national time trends in GP depression care and whether trends varied regarding patient gender, age, and comorbidity. Methods: Nationwide registry-based cohort study, Norway. The study population comprised all residents aged 20 years or older with new depression diagnoses recorded in general practice, 2009–2015. We linked reimbursement claims data from all consultations in general practice for depression with information on demographics and antidepressant medication. The outcome was type(s) of GP depression care during 12 months from the date of diagnosis: (long) consultation, talking therapy, antidepressant drug treatment, sickness absence certification, and referral to secondary mental health care. Covariates were patient gender, age, and comorbidity. The data are presented as frequencies and tested with generalized linear models. Results: We included 365,947 new depression diagnoses. Mean patient age was 44 years (SD = 16), 61.9 % were women, 41.2 % had comorbidity. From 2009 to 2015, proportions of patients receiving talking therapy (42.3–63.4 %), long consultations (56.4–71.8 %), and referral to secondary care (16.6–21.6 %) increased, while those receiving drug treatment (31.3–25.9 %) and sick-listing (58.1–50 %) decreased. The trends were different for gender (women had a greater increase in talking therapy and a smaller decrease in sick-listing, compared to men), age (working-aged patients had a smaller increase in talking therapy, a greater increase in long consultations, and a smaller decrease in antidepressant drug use, compared to older patients) and comorbidity (patients with mental comorbidity had a smaller increase in talking therapy and a greater increase in long consultations, compared to those with no comorbidity and somatic comorbidity). Conclusions: The observed time trends in GP depression care towards increased provision of psychological treatment and less drug treatment and sick-listing were in the desired direction according to Norwegian health care policy. However, the large and persistent differences in treatment rates between working-aged and older patients needs further investigation.

Bidragsytere

Aktiv cristin-person

Sabine Ruths

  • 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

Inger Haukenes

  • 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

Øystein Hetlevik

  • 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

Tone Smith-Sivertsen

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

Stefan Hjørleifsson

  • 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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