Background The relation between health insurance and the use of mental health services is unclear.
We compared the use of outpatient services for psychiatric problems in the United States and Ontario, Canada, among young and middle-aged adults according to self-reports of disorders listed in the Diagnostic and Statistical Manual of Mental Disorders (third edition, revised) and to other indicators of need.
Methods We analyzed two general-population surveys carried out separately in the United States and Ontario in 1990 that used identical assessments of need for services and questions about their use by persons 15 to 54 years of age.
Results Respondents in the United States were significantly more likely than those in Ontario to report having had psychiatric disorders, poor mental health, or workdays lost or cut short because of psychiatric problems in the previous year.
A significantly higher proportion of respondents in the United States (13.3 percent) than in Ontario (8.0 percent) had obtained outpatient treatment in the previous 12 months for psychiatric problems.
However, an analysis of subgroups found that the higher probability of the use of services in the United States was confined to people with less severe mental illness.
The average number of visits did not differ significantly between the two countries among patients who had similar numbers of psychiatric disorders over the same time periods. (...)
Mots-clés Pascal : Psychopathologie, Consultation psychiatrique, Service hospitalier, Etats Unis, Amérique du Nord, Amérique, Ontario, Canada, Malade, Externe, Etude comparative, Traitement, Organisation, Homme
Mots-clés Pascal anglais : Psychopathology, Psychiatric consultation, Hospital ward, United States, North America, America, Ontario, Canada, Patient, External, Comparative study, Treatment, Organization, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0205442
Code Inist : 002B18I11. Création : 21/05/1997.