Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

Schizophrenia and attendance in primary healthcare: a population-based matched cohort study

Research output: Contribution to journalJournal articleResearchpeer-review

  1. Danish general practitioners' management of patients with COPD: a nationwide survey

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. A compulsory pop-up form reduces the number of vitamin D requests from general practitioners by 25 percent

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Point-of-care ultrasound for general practitioners: a systematic needs assessment

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. Risk variants and polygenic architecture of disruptive behavior disorders in the context of attention-deficit/hyperactivity disorder

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Obsessive-Compulsive Symptoms and Other Symptoms of the At-risk Mental State for Psychosis: A Network Perspective

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Leveraging both individual-level genetic data and GWAS summary statistics increases polygenic prediction

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Genome-wide association study of more than 40,000 bipolar disorder cases provides new insights into the underlying biology

    Research output: Contribution to journalJournal articleResearchpeer-review

  5. The association between migrant status and transition in an ultra-high risk for psychosis population

    Research output: Contribution to journalJournal articleResearchpeer-review

  • Hans C B Nørgaard
  • H Schou Pedersen
  • M Fenger-Grøn
  • M Vestergaard
  • M Nordentoft
  • T M Laursen
  • O Mors
View graph of relations

Objective: Schizophrenia is associated with high mortality, somatic comorbidity and reduced life expectancy. The general practitioner (GP) plays a key role in the treatment of mental and physical multimorbidity. Nevertheless, it is unclear how much individuals with schizophrenia use primary healthcare. This study aims to investigate the yearly numbers of consultations in general practice for individuals with schizophrenia. Design and Setting: We performed a population-based matched cohort study of 21,757 individuals with schizophrenia and 435,140 age- and gender-matched references from Danish National Registers. Monthly general practice consultations were analysed using a generalized linear model with log link and assuming negative binomial distribution. Main outcome measures: Consultation rates in general practice up to17 years after index diagnosis. Results: Individuals with schizophrenia attended their GP more than references throughout the study period. The cases had 82% (95% CI: 78-87) and 76% (95% CI: 71-80) more consultations in primary care after 1 year and 5 years, respectively. Individuals with both schizophrenia and comorbid somatic illness attended even more. Conclusion: Individuals with schizophrenia are in regular contact with their GP, especially if they have comorbid illnesses. Whether an average of six consultations per year for individuals with schizophrenia is sufficient is up for debate. The study demonstrates a potential for an increased prevention and treatment of individuals with schizophrenia in general practice. KEY POINTS Schizophrenia is associated with high mortality, somatic comorbidity and reduced life expectancy. Little is known about the attendance pattern in primary care for individuals with schizophrenia. •We found high attendance rates in primary care for individuals diagnosed with schizophrenia from index diagnosis and at least 17 years after diagnosis, which suggests opportunities for earlier intervention to improve their somatic health. •We found an association between high illness comorbidity and increased risk of not attending the general practitioner. The most severely somatically and mentally ill individuals may thus be difficult to reach and support in the current healthcare system.

Original languageEnglish
JournalScandinavian Journal of Primary Health Care
Volume37
Issue number3
Pages (from-to)358-365
Number of pages8
ISSN0281-3432
DOIs
Publication statusPublished - Sep 2019

    Research areas

  • Adolescent, Adult, Aged, Aged, 80 and over, Cohort Studies, Comorbidity, Delivery of Health Care, Female, General Practice, General Practitioners, Humans, Male, Middle Aged, Multimorbidity, Patient Acceptance of Health Care, Primary Health Care, Referral and Consultation, Schizophrenia/complications, Young Adult

ID: 61719148