Page 69 - Demo

Primary mental healthcare: a Dutch database study673Care providedThe GP had a median of 6.4 consultations per person per year in the MID group with an MH problem, compared to 4.0 consultations in the matched group without ID (Table 3.3). In the MID group as a whole, this was 4.3 consultations versus 2.3 in the group without ID (Supplementary Table 3.2). In all groups, women had more consultations. Slightly fewer people in the MID group with MH problems had an MHNP consultation (24.8 vs 26.7%; p<.001), and both the GP and the MHNP provided more short than long consultations and more home visits to people with both MID and MH problems, compared to the matched group without ID (Table 3.3). The GP provided a median of 2.7 unique types of medication prescription categories per person per year in the MID group with an MH problem, compared to 2.0 prescriptions in the matched group without ID (Table 3.4). In the whole MID group, this was 2.0 prescriptions versus 1.0 in the group without ID (Supplementary Table 3.2). Of the MID group with an MH problem, 55.4% received at least one psychotropic prescription (OR 1.39, 95%CI 1.31–1.47), 19.9% an antipsychotic (N05A; OR 3.15, 95%CI 2.90–3.41), and 24.9% an anxiolytic (N05B; OR 1.41, 95%CI 1.32–1.51). In addition, 8.7% received an anti-epileptic prescription (N03A; OR 2.05, 95%CI 1.83–2.29). Table 3.3. Consultations with general practitioners and mental health nurse practitionersMID-MH N=5,808Match-MHbN=32,232OR (95%CI)cGP consultationsPeople with ≥1 consultation during research period, N (%)Total 5,702 (98.2) 22,708 (97.7) 1.29 (1.04–1.60)**Mena 3,283 (97.3) 13,070 (96.9) 1.22 (0.97–1.54)Womena 2,419 (99.3) 9,638 (99.0) 1.67 (0.98–2.83)Median consultations per year (25–75 percentile)Total 6.4 (3.3–11.5)** 4.0 (2.0–7.3)Men 5.0 (2.5–8.8)** 3.3 (1.7–5.8)Women 9.0 (5.0–15.2)** 5.5 (3.0–9.0)Type of consultationxTotal (N) 141,267 357,841Short consultation, N (%) 66,173 (46.8) 163,943 (45.8) 1.05 (1.03–1.06)**Long consultation, N (%) 21,052 (14.9) 60,504 (16.9) 0.86 (0.85–0.88)**Home visit short, N (%) 1,626 (1.2) 2,002 (0.6) 2.12 (1.98–2.26)**Home visit long, N (%) 1,255 (0.9) 2,571 (0.7) 1.25 (1.16–1.33)**Consultation by phone, N (%) 50,680 (35.9) 125,560 (35.1) 1.03 (1.02–1.05)**E-mail consultation, N (%) 481 (0.3) 3,261 (0.9) 0.37 (0.34–0.41)**Katrien Pouls sHL.indd 67 24-06-2024 16:26