Home Current Issue Previous Issues Published Ahead-of-Print Collections Blog For Authors Journal Info
Skip Navigation LinksHome > February 2002 - Volume 40 - Issue 2 > Quality of Preventive Medical Care for Patients With Mental...
Medical Care:
Articles

Quality of Preventive Medical Care for Patients With Mental Disorders

Druss, Benjamin G. MD, MPH*,†; Rosenheck, Robert A. MD*,†; Desai, Mayur M. PhD, MPH*,†; Perlin, Jonathan B. MD, PhD

Collapse Box

Abstract

Background/Objectives.: This study compares quality of preventive services between persons with and without mental/substance use disorders for a national sample of medical outpatients.

Research Design.: Cross‐sectional study.

Subjects.: A total of 113,505 veterans with chronic conditions and at least three general medical visits to Veterans Health Administration medical providers during 1998 to 1999.

Measures.: Chart‐derived rates of eight preventive services: two measures of immunization, four measures of cancer screening, and two of tobacco screening and counseling. Multivariable‐generalized estimating equations compared rates of each preventive service among veterans with psychiatric disorders, substance use disorders, both, and neither, adjusting for demographic, health status, and facility‐level characteristics.

Results.: On average, persons in the sample obtained 64% of the eight preventive procedures for which they were eligible. Overall rates of currency with preventive services were 58% for patients with combined psychiatric/substance use disorders, 60% and 65% for those with psychiatric and substance use disorders alone, and 66% for those with neither psychiatric nor substance use disorders. Each difference remained statistically significant in multivariable models.

Conclusions.: In this sample of patients in active medical treatment, rates of preventive services were higher than rates reported for population‐based, private‐sector samples. Despite these high‐baseline rates, persons with psychiatric disorders, particularly with comorbid substance use, were at risk for lower rate of receipt of preventive services.

© 2002 Lippincott Williams & Wilkins, Inc.

Login

Article Tools

Share

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.