Regional and individual influences on use of mental health services in Canada

Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
Natalia Diaz-GranadosMichael H Boyle

Abstract

Knowledge is lacking on the extent to which area-level characteristics contribute to variations observed in the use of mental health services. This study examined the influence of area- and individual-level characteristics on the use of mental health services. Data from a nationally representative, population-based, cross-sectional survey, the Canadian Community Health Survey-Mental Health and Well-Being, consisting of adults aged 15 years or older (n = 36 984), were linked to Canadian 2001 Census profiles according to health region boundaries (n = 97). Multilevel multivariable logistic regression modelling was used to: estimate variation in 12-month self-reported use of health services for mental health reasons between health regions; and, estimate the effects of individual- and area-level need, health resources, and sociodemographic factors on self-reported 12-month use of medical services for mental health reasons. There was a 2.1% and 3.5% regional variation for general practitioner-family physician (GP-FP) and psychiatric health service use during 12 months, respectively. Most of the regional variation observed was explained by number of physicians per health region and regional and individual need factors. Adults who were...Continue Reading

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Citations

Sep 1, 2011·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Elizabeth LinArlene S Bierman
Jun 13, 2012·Administration and Policy in Mental Health·Kátia B RochaCarme Borrell
Jul 25, 2017·The Journal of Behavioral Health Services & Research·Christophe HuỳnhMarie-Josée Fleury
Oct 21, 2017·Scandinavian Journal of Psychology·Elia PsouniHanne Linder
Jan 29, 2014·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·H MelchiorM Härter
Jul 15, 2015·Cyberpsychology, Behavior and Social Networking·Hugues Sampasa-Kanyinga, Rosamund F Lewis
Nov 18, 2017·Community Mental Health Journal·Farah IslamHala Tamim

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