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Open AccessArticle

Disparities in the Use of General Somatic Care among Individuals Treated for Severe Mental Disorders and the General Population in France

Institut de Recherche et Documentation en Économie de la Santé (IRDES), 75019 Paris, France
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Int. J. Environ. Res. Public Health 2020, 17(10), 3367; https://doi.org/10.3390/ijerph17103367
Received: 8 April 2020 / Revised: 30 April 2020 / Accepted: 10 May 2020 / Published: 12 May 2020
(This article belongs to the Special Issue Health and Health Care Access of Vulnerable Populations)
Individuals with severe mental illnesses (SMI) face a striking excess and premature mortality which has been demonstrated in several national contexts. This phenomenon, which constitutes a red-flag indicator of public health inequities, can be hypothesized to result from healthcare access issues which have been insufficiently documented so far. In this context, our objective was to explore patterns of general somatic healthcare use of individuals treated for SMI in comparison to those of the general population in France using national health administrative data and a matched case-control study. Differences in the use of general and specific somatic preventive care services, primary care, routine specialized somatic care and admissions to non-psychiatric hospital departments for somatic causes were described between cases and controls after adjustment on differing clinical needs, socio-economic status, and living environment. Our results show a lower use of general preventive care services and of routine specialized somatic care in the SMI population, despite more frequent comorbidities, and a higher occurrence of avoidable hospitalizations, despite higher contacts with primary care physicians. These findings suggest that the health system fails to address the specific needs of this vulnerable population and support the development of measures aimed at reducing this gap. View Full-Text
Keywords: severe mental illnesses; somatic care; healthcare use; health inequities; vulnerable populations severe mental illnesses; somatic care; healthcare use; health inequities; vulnerable populations
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Gandré, C.; Coldefy, M. Disparities in the Use of General Somatic Care among Individuals Treated for Severe Mental Disorders and the General Population in France. Int. J. Environ. Res. Public Health 2020, 17, 3367.

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