Loading…
Healthcare utilization patterns of individuals with depression after national policy to increase the mental health workforce in primary care: a data linkage study
The deployment of the mental health nurse, an additional healthcare provider for individuals in need of mental healthcare in Dutch general practices, was expected to substitute treatments from general practitioners and providers in basic and specialized mental healthcare (psychologists, psychotherap...
Saved in:
| Published in: | BMC family practice 2024-05, Vol.25 (1), p.158-10, Article 158 |
|---|---|
| Main Authors: | , , , , , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | |
|---|---|
| cites | cdi_FETCH-LOGICAL-c515t-f34d34356f6b1c77ebeedf5d35c1604509c5500a770f8e70e265b409ce440b2d3 |
| container_end_page | 10 |
| container_issue | 1 |
| container_start_page | 158 |
| container_title | BMC family practice |
| container_volume | 25 |
| creator | Dros, Jesper T van Dijk, Christel E Böcker, Koen B E Bruins Slot, Lotte C J A F Verheij, Robert A Meijboom, Bert R Dik, Jan-Willem Bos, Isabelle |
| description | The deployment of the mental health nurse, an additional healthcare provider for individuals in need of mental healthcare in Dutch general practices, was expected to substitute treatments from general practitioners and providers in basic and specialized mental healthcare (psychologists, psychotherapists, psychiatrists, etc.). The goal of this study was to investigate the extent to which the degree of mental health nurse deployment in general practices is associated with healthcare utilization patterns of individuals with depression.
We combined national health insurers' claims data with electronic health records from general practices. Healthcare utilization patterns of individuals with depression between 2014 and 2019 (N = 31,873) were analysed. The changes in the proportion of individuals treated after depression onset were assessed in association with the degree of mental health nurse deployment in general practices.
The proportion of individuals with depression treated by the GP, in basic and specialized mental healthcare was lower in individuals in practices with high mental health nurse deployment. While the association between mental health nurse deployment and consultation in basic mental healthcare was smaller for individuals who depleted their deductibles, the association was still significant. Treatment volume of general practitioners was also lower in practices with higher levels of mental health nurse deployment.
Individuals receiving care at a general practice with a higher degree of mental health nurse deployment have lower odds of being treated by mental healthcare providers in other healthcare settings. More research is needed to evaluate to what extent substitution of care from specialized mental healthcare towards general practices might be associated with waiting times for specialized mental healthcare. |
| doi_str_mv | 10.1186/s12875-024-02402-8 |
| format | article |
| fullrecord | <record><control><sourceid>gale_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_e75990e0cf05428bbb23fff395711898</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A793214078</galeid><doaj_id>oai_doaj_org_article_e75990e0cf05428bbb23fff395711898</doaj_id><sourcerecordid>A793214078</sourcerecordid><originalsourceid>FETCH-LOGICAL-c515t-f34d34356f6b1c77ebeedf5d35c1604509c5500a770f8e70e265b409ce440b2d3</originalsourceid><addsrcrecordid>eNptUk1v1DAQjRCIVqV_gAOyxIVLij_jhAuqKqCVKnGBs-XY411vs_FiO62Wn8MvxdldShchy7I1896bGftV1WuCLwhpm_eJ0FaKGlM-b0zr9ll1SiUjNReCPX9yP6nOU1phjKlsJGXsZXXCWkkxbfBp9esa9JCXRkdAU_aD_6mzDyPa6JwhjgkFh_xo_b23kx4SevB5iSxsIqQ047QrMDTuSHpAmzB4s0U5FJKJoBOgvAS0hjGX7HJXCz2EeOdCNFBAaBP9Wsctmjv4gDSyOms0-PFOLwClPNntq-qFK6Xh_HCeVd8_f_p2dV3ffv1yc3V5WxtBRK4d45ZxJhrX9MRICT2AdcIyYUiDucCdEQJjLSV2LUgMtBE9L1HgHPfUsrPqZq9rg16pQ18qaK92gRAXSsfszQAKpOg6DNg4LDht-76nzDnHOiHL53Rt0fq419pM_RqsKfNHPRyJHmdGv1SLcK8IwVK2nBaFdweFGH5MkLJa-2RgGPQIYUqKYcEIawSWBfr2H-gqTLF8xw7FiWRUsL-ohS4T-NGFUtjMoupSdowSjuXc-MV_UGVZWHsTRnC-xI8IdE8wMaQUwT0OSbCanar2TlXFpWrnVDWT3jx9nkfKH1-y31_B5Vc</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3054173253</pqid></control><display><type>article</type><title>Healthcare utilization patterns of individuals with depression after national policy to increase the mental health workforce in primary care: a data linkage study</title><source>Open Access: PubMed Central</source><source>Access via ProQuest (Open Access)</source><source>Coronavirus Research Database</source><creator>Dros, Jesper T ; van Dijk, Christel E ; Böcker, Koen B E ; Bruins Slot, Lotte C J A F ; Verheij, Robert A ; Meijboom, Bert R ; Dik, Jan-Willem ; Bos, Isabelle</creator><creatorcontrib>Dros, Jesper T ; van Dijk, Christel E ; Böcker, Koen B E ; Bruins Slot, Lotte C J A F ; Verheij, Robert A ; Meijboom, Bert R ; Dik, Jan-Willem ; Bos, Isabelle</creatorcontrib><description>The deployment of the mental health nurse, an additional healthcare provider for individuals in need of mental healthcare in Dutch general practices, was expected to substitute treatments from general practitioners and providers in basic and specialized mental healthcare (psychologists, psychotherapists, psychiatrists, etc.). The goal of this study was to investigate the extent to which the degree of mental health nurse deployment in general practices is associated with healthcare utilization patterns of individuals with depression.
We combined national health insurers' claims data with electronic health records from general practices. Healthcare utilization patterns of individuals with depression between 2014 and 2019 (N = 31,873) were analysed. The changes in the proportion of individuals treated after depression onset were assessed in association with the degree of mental health nurse deployment in general practices.
The proportion of individuals with depression treated by the GP, in basic and specialized mental healthcare was lower in individuals in practices with high mental health nurse deployment. While the association between mental health nurse deployment and consultation in basic mental healthcare was smaller for individuals who depleted their deductibles, the association was still significant. Treatment volume of general practitioners was also lower in practices with higher levels of mental health nurse deployment.
Individuals receiving care at a general practice with a higher degree of mental health nurse deployment have lower odds of being treated by mental healthcare providers in other healthcare settings. More research is needed to evaluate to what extent substitution of care from specialized mental healthcare towards general practices might be associated with waiting times for specialized mental healthcare.</description><identifier>ISSN: 2731-4553</identifier><identifier>EISSN: 2731-4553</identifier><identifier>EISSN: 1471-2296</identifier><identifier>DOI: 10.1186/s12875-024-02402-8</identifier><identifier>PMID: 38720260</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adult ; Aged ; Analysis ; Care and treatment ; Depression - epidemiology ; Depression - therapy ; Depression, Mental ; Diagnosis related groups ; DRGs ; Electronic Health Records ; Electronic Health Records - statistics & numerical data ; Female ; General Practice - statistics & numerical data ; Health care industry ; Health care policy ; Health insurance ; Health Policy ; Health services utilization ; Humans ; Hypotheses ; Laws, regulations and rules ; Male ; Medical care ; Medical Claims Data ; Medical policy ; Mental depression ; Mental disorders ; Mental health ; Mental Health Nurse ; Mental Health Services - statistics & numerical data ; Mental Healthcare ; Middle Aged ; Netherlands - epidemiology ; Nurses ; Officials and employees ; Patient Acceptance of Health Care - statistics & numerical data ; Primary care ; Primary health care ; Primary Health Care - statistics & numerical data ; Psychiatric Nursing ; Psychiatric personnel ; Routine Healthcare Data ; Substitution of Care ; Utilization ; Workforce ; Young Adult</subject><ispartof>BMC family practice, 2024-05, Vol.25 (1), p.158-10, Article 158</ispartof><rights>2024. The Author(s).</rights><rights>COPYRIGHT 2024 BioMed Central Ltd.</rights><rights>2024. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c515t-f34d34356f6b1c77ebeedf5d35c1604509c5500a770f8e70e265b409ce440b2d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11077842/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/3054173253?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,37013,38516,43895,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38720260$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dros, Jesper T</creatorcontrib><creatorcontrib>van Dijk, Christel E</creatorcontrib><creatorcontrib>Böcker, Koen B E</creatorcontrib><creatorcontrib>Bruins Slot, Lotte C J A F</creatorcontrib><creatorcontrib>Verheij, Robert A</creatorcontrib><creatorcontrib>Meijboom, Bert R</creatorcontrib><creatorcontrib>Dik, Jan-Willem</creatorcontrib><creatorcontrib>Bos, Isabelle</creatorcontrib><title>Healthcare utilization patterns of individuals with depression after national policy to increase the mental health workforce in primary care: a data linkage study</title><title>BMC family practice</title><addtitle>BMC Prim Care</addtitle><description>The deployment of the mental health nurse, an additional healthcare provider for individuals in need of mental healthcare in Dutch general practices, was expected to substitute treatments from general practitioners and providers in basic and specialized mental healthcare (psychologists, psychotherapists, psychiatrists, etc.). The goal of this study was to investigate the extent to which the degree of mental health nurse deployment in general practices is associated with healthcare utilization patterns of individuals with depression.
We combined national health insurers' claims data with electronic health records from general practices. Healthcare utilization patterns of individuals with depression between 2014 and 2019 (N = 31,873) were analysed. The changes in the proportion of individuals treated after depression onset were assessed in association with the degree of mental health nurse deployment in general practices.
The proportion of individuals with depression treated by the GP, in basic and specialized mental healthcare was lower in individuals in practices with high mental health nurse deployment. While the association between mental health nurse deployment and consultation in basic mental healthcare was smaller for individuals who depleted their deductibles, the association was still significant. Treatment volume of general practitioners was also lower in practices with higher levels of mental health nurse deployment.
Individuals receiving care at a general practice with a higher degree of mental health nurse deployment have lower odds of being treated by mental healthcare providers in other healthcare settings. More research is needed to evaluate to what extent substitution of care from specialized mental healthcare towards general practices might be associated with waiting times for specialized mental healthcare.</description><subject>Adult</subject><subject>Aged</subject><subject>Analysis</subject><subject>Care and treatment</subject><subject>Depression - epidemiology</subject><subject>Depression - therapy</subject><subject>Depression, Mental</subject><subject>Diagnosis related groups</subject><subject>DRGs</subject><subject>Electronic Health Records</subject><subject>Electronic Health Records - statistics & numerical data</subject><subject>Female</subject><subject>General Practice - statistics & numerical data</subject><subject>Health care industry</subject><subject>Health care policy</subject><subject>Health insurance</subject><subject>Health Policy</subject><subject>Health services utilization</subject><subject>Humans</subject><subject>Hypotheses</subject><subject>Laws, regulations and rules</subject><subject>Male</subject><subject>Medical care</subject><subject>Medical Claims Data</subject><subject>Medical policy</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Mental Health Nurse</subject><subject>Mental Health Services - statistics & numerical data</subject><subject>Mental Healthcare</subject><subject>Middle Aged</subject><subject>Netherlands - epidemiology</subject><subject>Nurses</subject><subject>Officials and employees</subject><subject>Patient Acceptance of Health Care - statistics & numerical data</subject><subject>Primary care</subject><subject>Primary health care</subject><subject>Primary Health Care - statistics & numerical data</subject><subject>Psychiatric Nursing</subject><subject>Psychiatric personnel</subject><subject>Routine Healthcare Data</subject><subject>Substitution of Care</subject><subject>Utilization</subject><subject>Workforce</subject><subject>Young Adult</subject><issn>2731-4553</issn><issn>2731-4553</issn><issn>1471-2296</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>COVID</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptUk1v1DAQjRCIVqV_gAOyxIVLij_jhAuqKqCVKnGBs-XY411vs_FiO62Wn8MvxdldShchy7I1896bGftV1WuCLwhpm_eJ0FaKGlM-b0zr9ll1SiUjNReCPX9yP6nOU1phjKlsJGXsZXXCWkkxbfBp9esa9JCXRkdAU_aD_6mzDyPa6JwhjgkFh_xo_b23kx4SevB5iSxsIqQ047QrMDTuSHpAmzB4s0U5FJKJoBOgvAS0hjGX7HJXCz2EeOdCNFBAaBP9Wsctmjv4gDSyOms0-PFOLwClPNntq-qFK6Xh_HCeVd8_f_p2dV3ffv1yc3V5WxtBRK4d45ZxJhrX9MRICT2AdcIyYUiDucCdEQJjLSV2LUgMtBE9L1HgHPfUsrPqZq9rg16pQ18qaK92gRAXSsfszQAKpOg6DNg4LDht-76nzDnHOiHL53Rt0fq419pM_RqsKfNHPRyJHmdGv1SLcK8IwVK2nBaFdweFGH5MkLJa-2RgGPQIYUqKYcEIawSWBfr2H-gqTLF8xw7FiWRUsL-ohS4T-NGFUtjMoupSdowSjuXc-MV_UGVZWHsTRnC-xI8IdE8wMaQUwT0OSbCanar2TlXFpWrnVDWT3jx9nkfKH1-y31_B5Vc</recordid><startdate>20240508</startdate><enddate>20240508</enddate><creator>Dros, Jesper T</creator><creator>van Dijk, Christel E</creator><creator>Böcker, Koen B E</creator><creator>Bruins Slot, Lotte C J A F</creator><creator>Verheij, Robert A</creator><creator>Meijboom, Bert R</creator><creator>Dik, Jan-Willem</creator><creator>Bos, Isabelle</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20240508</creationdate><title>Healthcare utilization patterns of individuals with depression after national policy to increase the mental health workforce in primary care: a data linkage study</title><author>Dros, Jesper T ; van Dijk, Christel E ; Böcker, Koen B E ; Bruins Slot, Lotte C J A F ; Verheij, Robert A ; Meijboom, Bert R ; Dik, Jan-Willem ; Bos, Isabelle</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c515t-f34d34356f6b1c77ebeedf5d35c1604509c5500a770f8e70e265b409ce440b2d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Analysis</topic><topic>Care and treatment</topic><topic>Depression - epidemiology</topic><topic>Depression - therapy</topic><topic>Depression, Mental</topic><topic>Diagnosis related groups</topic><topic>DRGs</topic><topic>Electronic Health Records</topic><topic>Electronic Health Records - statistics & numerical data</topic><topic>Female</topic><topic>General Practice - statistics & numerical data</topic><topic>Health care industry</topic><topic>Health care policy</topic><topic>Health insurance</topic><topic>Health Policy</topic><topic>Health services utilization</topic><topic>Humans</topic><topic>Hypotheses</topic><topic>Laws, regulations and rules</topic><topic>Male</topic><topic>Medical care</topic><topic>Medical Claims Data</topic><topic>Medical policy</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Mental Health Nurse</topic><topic>Mental Health Services - statistics & numerical data</topic><topic>Mental Healthcare</topic><topic>Middle Aged</topic><topic>Netherlands - epidemiology</topic><topic>Nurses</topic><topic>Officials and employees</topic><topic>Patient Acceptance of Health Care - statistics & numerical data</topic><topic>Primary care</topic><topic>Primary health care</topic><topic>Primary Health Care - statistics & numerical data</topic><topic>Psychiatric Nursing</topic><topic>Psychiatric personnel</topic><topic>Routine Healthcare Data</topic><topic>Substitution of Care</topic><topic>Utilization</topic><topic>Workforce</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dros, Jesper T</creatorcontrib><creatorcontrib>van Dijk, Christel E</creatorcontrib><creatorcontrib>Böcker, Koen B E</creatorcontrib><creatorcontrib>Bruins Slot, Lotte C J A F</creatorcontrib><creatorcontrib>Verheij, Robert A</creatorcontrib><creatorcontrib>Meijboom, Bert R</creatorcontrib><creatorcontrib>Dik, Jan-Willem</creatorcontrib><creatorcontrib>Bos, Isabelle</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Coronavirus Research Database</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>BMC family practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dros, Jesper T</au><au>van Dijk, Christel E</au><au>Böcker, Koen B E</au><au>Bruins Slot, Lotte C J A F</au><au>Verheij, Robert A</au><au>Meijboom, Bert R</au><au>Dik, Jan-Willem</au><au>Bos, Isabelle</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Healthcare utilization patterns of individuals with depression after national policy to increase the mental health workforce in primary care: a data linkage study</atitle><jtitle>BMC family practice</jtitle><addtitle>BMC Prim Care</addtitle><date>2024-05-08</date><risdate>2024</risdate><volume>25</volume><issue>1</issue><spage>158</spage><epage>10</epage><pages>158-10</pages><artnum>158</artnum><issn>2731-4553</issn><eissn>2731-4553</eissn><eissn>1471-2296</eissn><abstract>The deployment of the mental health nurse, an additional healthcare provider for individuals in need of mental healthcare in Dutch general practices, was expected to substitute treatments from general practitioners and providers in basic and specialized mental healthcare (psychologists, psychotherapists, psychiatrists, etc.). The goal of this study was to investigate the extent to which the degree of mental health nurse deployment in general practices is associated with healthcare utilization patterns of individuals with depression.
We combined national health insurers' claims data with electronic health records from general practices. Healthcare utilization patterns of individuals with depression between 2014 and 2019 (N = 31,873) were analysed. The changes in the proportion of individuals treated after depression onset were assessed in association with the degree of mental health nurse deployment in general practices.
The proportion of individuals with depression treated by the GP, in basic and specialized mental healthcare was lower in individuals in practices with high mental health nurse deployment. While the association between mental health nurse deployment and consultation in basic mental healthcare was smaller for individuals who depleted their deductibles, the association was still significant. Treatment volume of general practitioners was also lower in practices with higher levels of mental health nurse deployment.
Individuals receiving care at a general practice with a higher degree of mental health nurse deployment have lower odds of being treated by mental healthcare providers in other healthcare settings. More research is needed to evaluate to what extent substitution of care from specialized mental healthcare towards general practices might be associated with waiting times for specialized mental healthcare.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>38720260</pmid><doi>10.1186/s12875-024-02402-8</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2731-4553 |
| ispartof | BMC family practice, 2024-05, Vol.25 (1), p.158-10, Article 158 |
| issn | 2731-4553 2731-4553 1471-2296 |
| language | eng |
| recordid | cdi_doaj_primary_oai_doaj_org_article_e75990e0cf05428bbb23fff395711898 |
| source | Open Access: PubMed Central; Access via ProQuest (Open Access); Coronavirus Research Database |
| subjects | Adult Aged Analysis Care and treatment Depression - epidemiology Depression - therapy Depression, Mental Diagnosis related groups DRGs Electronic Health Records Electronic Health Records - statistics & numerical data Female General Practice - statistics & numerical data Health care industry Health care policy Health insurance Health Policy Health services utilization Humans Hypotheses Laws, regulations and rules Male Medical care Medical Claims Data Medical policy Mental depression Mental disorders Mental health Mental Health Nurse Mental Health Services - statistics & numerical data Mental Healthcare Middle Aged Netherlands - epidemiology Nurses Officials and employees Patient Acceptance of Health Care - statistics & numerical data Primary care Primary health care Primary Health Care - statistics & numerical data Psychiatric Nursing Psychiatric personnel Routine Healthcare Data Substitution of Care Utilization Workforce Young Adult |
| title | Healthcare utilization patterns of individuals with depression after national policy to increase the mental health workforce in primary care: a data linkage study |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T12%3A29%3A05IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Healthcare%20utilization%20patterns%20of%20individuals%20with%20depression%20after%20national%20policy%20to%20increase%20the%20mental%20health%20workforce%20in%20primary%20care:%20a%20data%20linkage%20study&rft.jtitle=BMC%20family%20practice&rft.au=Dros,%20Jesper%20T&rft.date=2024-05-08&rft.volume=25&rft.issue=1&rft.spage=158&rft.epage=10&rft.pages=158-10&rft.artnum=158&rft.issn=2731-4553&rft.eissn=2731-4553&rft_id=info:doi/10.1186/s12875-024-02402-8&rft_dat=%3Cgale_doaj_%3EA793214078%3C/gale_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c515t-f34d34356f6b1c77ebeedf5d35c1604509c5500a770f8e70e265b409ce440b2d3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=3054173253&rft_id=info:pmid/38720260&rft_galeid=A793214078&rfr_iscdi=true |