Cristin-resultat-ID: 2092202
Sist endret: 6. januar 2023, 12:55
NVI-rapporteringsår: 2022
Resultat
Vitenskapelig artikkel
2022

Comparison of depression care provided in general practice in Norway and the Netherlands: registry-based cohort study (The Norwegian GP-DEP study)

Bidragsytere:
  • Anneli Borge Hansen
  • Valborg Baste
  • Øystein Hetlevik
  • Tone Smith-Sivertsen
  • Inger Haukenes
  • Derek de Beurs
  • mfl.

Tidsskrift

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

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2022
Publisert online: 2022
Volum: 22
Sider: 1 - 11
Artikkelnummer: 1494
Open Access

Importkilder

Scopus-ID: 2-s2.0-85143542428

Klassifisering

Vitenskapsdisipliner

Allmennmedisin

Emneord

Depresjon • Helsetjenesteforskning

HRCS

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

Beskrivelse Beskrivelse

Tittel

Comparison of depression care provided in general practice in Norway and the Netherlands: registry-based cohort study (The Norwegian GP-DEP study)

Sammendrag

Background Depression is highly prevalent in general practice, and organisation of primary health care probably affects the provision of depression care. General practitioners (GPs) in Norway and the Netherlands fulfil comparable roles. However, primary care teams with a mental health nurse (MHN) supplementing the GP have been established in the Netherlands, but not yet in Norway. In order to explore how the organisation of primary mental care affects care delivery, we aimed to examine the provision of GP depression care across the two countries. Methods Registry-based cohort study comprising new depression episodes in patients aged ≥ 18 years, 2011–2015. The Norwegian sample was drawn from the entire population (national health registries); 297,409 episodes. A representative Dutch sample (Nivel Primary Care Database) was included; 27,362 episodes. Outcomes were follow-up consultation(s) with GP, with GP and/or MHN, and antidepressant prescriptions during 12 months from the start of the depression episode. Differences between countries were estimated using negative binomial and Cox regression models, adjusted for patient gender, age and comorbidity. Results Patients in the Netherlands compared to Norway were less likely to receive GP follow-up consultations, IRR (incidence rate ratio) = 0.73 (95% confidence interval (CI) 0.71–0.74). Differences were greatest among patients aged 18–39 years (adj IRR = 0.64, 0.63–0.66) and 40–59 years (adj IRR = 0.71, 0.69–0.73). When comparing follow-up consultations in GP practices, including MHN consultations in the Netherlands, no cross-national differences were found (IRR = 1.00, 0.98–1.01). But in age-stratified analyses, Dutch patients 60 years and older were more likely to be followed up than their Norwegian counterparts (adj IRR = 1.21, 1.16–1.26). Patients in the Netherlands compared to Norway were more likely to receive antidepressant drugs, adj HR (hazard ratio) = 1.32 (1.30–1.34). Conclusions The observed differences indicate that the organisation of primary mental health care affects the provision of follow-up consultations in Norway and the Netherlands. Clinical studies are needed to explore the impact of team-based care and GP-based care on the quality of depression care and patient outcomes.

Bidragsytere

Anneli Borge Hansen

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

Inger Haukenes

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