Table 5 Summary of the 5 profiles of physician follow-up care and associated respondent characteristics and outcomes
Profile 1: Follow-up care by usual psychiatrist | Profile 2: Low MH follow-up care but high prior consultations for physical reason | Profile 3: Follow-up care by GP and psychiatrists | Profile 4: High follow-up care by usual GP and prior consultations for physical reasons | Profile 5: Low MH follow-up care and prior consultations for physical reasons | |
|---|---|---|---|---|---|
Group size (%) | 2,243 (1.3) | 85,391 (49.9) | 19,155 (11.2) | 39,574 (23.2) | 24,594 (14.4) |
Physician follow-up care | ►Highest mental health (MH) follow-up care by their usual psychiatrist ►Highest continuity of MH follow-up care (95% of patients), physician psychotherapy received, and care delivered in long-term facilities ►66% (second highest) and 81% (third highest) of patients received prompt and adequate MH follow-up care, respectively ►Second lowest in care delivered in family medicine groups (60% of patients) | ►Lowest adequate MH follow-up care and physician psychotherapy ►Second lowest prompt and continuous MH follow-up care received ►Highest prior general practitioner (GP) consultations for physical reasons (99.4% of patients within 2 years before MD detection) ►Second highest care delivered in family medicine groups (80% of patients) and prior high continuity of GP care (47% of patients) for physical reasons | ►Highest MH follow-up care by GP and psychiatrists other than their usual physicians ►Highest prompt MH follow-up care received (76% of patients) ►91% (second highest) and 76% (third highest) of patients received adequate and continuous MH follow-up care, respectively ►Second highest physician psychotherapy received, and care delivered in long-term facilities ►Second lowest continuity of GP care (13% of patients) | ►Highest MH follow-up care by usual GP ►Highest adequate MH follow-up care (92% of patients) ►65% (third highest) and 86% (second highest) of patients received prompt and continuous MH follow-up care, respectively ►Highest care delivered in family medicine group (83% of patients), and highest prior continuity of GP care for physical reasons (61%) ►Second highest in prior GP consultations for physical reasons (99.2% of patients) | ►Lowest prompt and continuous MH follow-up care received ►Highest seniority (≥ 20 years) of the physicians providing MH follow-up care (87% of physicians) ► Second lowest adequate MH follow-up care received and care delivered in family medicine groups (26% of patients) ►No prior consultation with GP or prior high continuity of GP care for physical reasons |
Sociodemographic correlates | ►Youngest patients (24%: 12–17 years old) ►Highest percentage of patients living in materially deprived areas (like Profile 5) ►Highest percentage of patients living in socially deprived areas and in university regions (like Profile 3) ►Highest percentage of homeless patients | ►Highest percentage of older patients (65 + years old) | ►Highest percentage of patients aged 18–44 ►Highest percentage of patients living in socially deprived areas, and in university regions (like Profile 1) | ►Highest percentage of women ►Highest percentage of patients aged 45–64 ►Second highest percentage of patients aged 65+ ► Lowest percentage of patients living in materially or socially deprived areas, and in university regions | ►Highest percentage of men ►Highest percentage of patients living in materially deprived areas (like Profile 1) ►Highest percentage of patients living in rural or metropolitan areas ►Second highest percentage of patients aged 12–17 or 18–29, and of homeless patients |
Clinical correlates | ►Highest percentage of patients with serious mental disorders (MD) and personality disorders ►Highest percentage of patients with 2 + prior MD episodes (like Profile 4) ►Highest percentage of patients with suicide attempts ►Highest percentage of patients with co-occurring MD-substance-related disorders (SRD) (like Profile 5) | ►Highest percentage of patients with severe chronic physical illnesses, and co-occurring MD-SRD-chronic physical illnesses ►Second highest percentage of patients with common MD and SRD ► Lowest percentage of patients with serious MD | ►Second highest percentage of patients with serious MD, personality disorders, and suicidal attempts | ►Highest percentage of patients with common MD ►Highest percentage of patients with 2 + prior MD episodes (like Profile 1) ►Lowest percentage of patients with co-occurring MD-SRD, and co-occurring MD-SRD-chronic physical illnesses | ►Highest percentage of patients with SRD ►Highest percentage of patients with co-occurring MD-SRD (like Profile 1) ►Lowest percentage of patients with 2 + prior MD episodes |
Adverse outcomes | ►Highest risk of frequent emergency department (ED) use and hospitalization ►Lowest risk of death (like Profile 4) | ►Lowest risk of frequent ED use and hospitalization ►Second highest risk of death (like Profile 3) after Profiles 1 and 4 | ►Second highest risk of frequent ED use and hospitalization ►Second highest risk of death (like Profile 2) after Profiles 1 and 4 | ►Second least risk of ED use and hospitalization ►Lowest risk of death (like Profile 1) | ►Third highest risk of frequent ED use and hospitalization ►Highest risk of death |