The use of outpatient mental health services in the United States and Ontario : The impact of mental morbidity and perceived need for care.
This study compared the associations of individual mental health disorders, self-rated mental health, disability, and perceived need for care with the use of outpatient mental health services in the United States and the Canadian province of Ontario.
Across-sectional study design was employed.
Data came from the 1990.
US National Comorbidity Survey and the 1990 Mental Health Supplement to the Ontario : Health Survey.
The odds of receiving any medical or psychiatric specialty services were as follows :
for persons with any affective disorder, 3.1 in. the United States vs 11.0 in Ontario ;
for persons with fair or poor self-rated mental health, 2.7 in the United States vs 5.0 in Ontario ;
for persons with mental health-related disability, 3.0 in the United States vs 1.5 in Ontario,
When perceived need was controlled for, most of the between-country differences in use disappeared.
The higher use of mental health services in the United States than in Ontario is mostly explained by the combination of a higher prevalence of mental morbidity and a higher prevalence of perceived need for care among persons with low mental morbidity in the United States.
Mots-clés Pascal : Santé mentale, Service santé, Médecin généraliste, Trouble psychiatrique, Difficulté psychologique, Autoperception, Besoin, Soin, Système santé, Utilisation, Morbidité, Homme, Etats Unis, Amérique du Nord, Amérique, Canada, Etude comparative, Organisation santé, Politique sanitaire
Mots-clés Pascal anglais : Mental health, Health service, General practitioner, Mental disorder, Psychological difficulty, Self perception, Need, Care, Health system, Use, Morbidity, Human, United States, North America, America, Canada, Comparative study, Public health organization, Health policy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0447556
Code Inist : 002B18H05B. Création : 03/02/1998.