Page 70 - Demo

Chapter 368Table 3.3. ContinuedMID-MH N=5,808Match-MHbN=32,232OR (95%CI)cMHNP consultationsPeople with ≥1 consultation during research period, N (%)Total 1,442 (24.8) 6,195 (26.7) 0.91 (0.85–0.98)*Mena 710 (21.0) 3,130 (23.2) 0.89 (0.81–0.97)*Womena 732 (30.1) 3,065 (31.5) 0.94 (0.85–1.04)Median consultation per year (25–75 percentile) in people ≥1consultation in research periodTotal 1.5 (0.8–3.3) 1.3 (0.7–2.7)Men 1.3 (0.7–2.8) 1.3 (0.7–2.4)Women 1.5 (0.8–4.0) 1.5 (0.8–3.0)Type of consultationdTotal (N) 11,249 36,125Short consultation, N (%) 274 (2.4) 564 (1.6) 1.62 (1.40–1.88)**Long consultation, N (%) 8,586 (76.3) 30,711 (85.0) 0.57 (0.54–0.60)**Short home visit short, N (%) 15 (0.1) 17 (0.0) not applicableLong home visit, N (%) 288 (2.6) 204 (0.6) 4.16 (3.46–5.00)**Consultation by phone, N (%) 1,994 (17.7) 3,949 (10.9) 1.77 (1.67–1.88)**E-mail consultation, N (%) 91 (0.8) 572 (1.6) 0.53 (0.42–0.66)**Group consultations, N (%) <10e 108 (0.3) not applicableMID-MH: Group with mild intellectual disability and a mental health problem; Match-MH: Match control group with MH problem; GP = General practitioner; MHNP: Mental health nurse practitioner; **p < .001, *p < .05, MID compared with without-ID; apercentage of the total number of men/women within the group; b Match-MH: each individual from the MID-MH group randomly matched by age, sex, and number of years in the dataset to four individuals in the without-ID group; cOR calculated for variable with an absolute number of ≥ 30 people in one of the groups, adjusted for age, sex, and years registered in the database; dLong: >20 minutes, short: <20 minutes, percentage of total number of consultations; eAbsolute numbers below 10 may are not displayed. DiscussionIn this primary care database study, we found that almost half of the people with MID experienced MH problems versus one third of the people without ID, with large differences in substance abuse, suicide attempts, and psychosis. GPs provided more consultations and types of medication prescriptions to people with a combination of MID and an MH problem compared to matched people without ID or with MID alone. More than 80% of the persons with MID were not registered by the GP as such. Katrien Pouls sHL.indd 68 24-06-2024 16:26