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Healthcare utilization patterns of individuals with depression after national policy to increase the mental health workforce in primary care: a data linkage study

dc.contributor.authorJesper T. Dros
dc.contributor.authorChristel E. van Dijk
dc.contributor.authorKoen B.E. Böcker
dc.contributor.authorLotte C.J.A.F Bruins Slot
dc.contributor.authorRobert A. Verheij
dc.contributor.authorBert R. Meijboom
dc.contributor.authorJan-Willem Dik
dc.contributor.authorIsabelle Bos
dc.contributor.otherNetherlands Institute for Health Services Research (Nivel)
dc.contributor.otherNational Health Care Institute
dc.contributor.otherNational Health Care Institute
dc.contributor.otherNational Health Care Institute
dc.contributor.otherNetherlands Institute for Health Services Research (Nivel)
dc.contributor.otherTilburg School of Social and Behavioural Sciences, Tilburg University
dc.contributor.otherNational Health Care Institute
dc.contributor.otherNetherlands Institute for Health Services Research (Nivel)
dc.date.accessioned2024-05-12T11:27:51Z
dc.date.accessioned2025-10-08T08:22:30Z
dc.date.available2025-10-08T08:22:30Z
dc.date.issued01-05-2024
dc.identifier.urihttp://digilib.fisipol.ugm.ac.id/repo/handle/15717717/35642
dc.description.abstractAbstract Background The deployment of the mental health nurse, an additional healthcare provider for individuals in need of mental healthcare in Dutch general practices, was expected to substitute treatments from general practitioners and providers in basic and specialized mental healthcare (psychologists, psychotherapists, psychiatrists, etc.). The goal of this study was to investigate the extent to which the degree of mental health nurse deployment in general practices is associated with healthcare utilization patterns of individuals with depression. Methods We combined national health insurers’ claims data with electronic health records from general practices. Healthcare utilization patterns of individuals with depression between 2014 and 2019 (N = 31,873) were analysed. The changes in the proportion of individuals treated after depression onset were assessed in association with the degree of mental health nurse deployment in general practices. Results The proportion of individuals with depression treated by the GP, in basic and specialized mental healthcare was lower in individuals in practices with high mental health nurse deployment. While the association between mental health nurse deployment and consultation in basic mental healthcare was smaller for individuals who depleted their deductibles, the association was still significant. Treatment volume of general practitioners was also lower in practices with higher levels of mental health nurse deployment. Conclusion Individuals receiving care at a general practice with a higher degree of mental health nurse deployment have lower odds of being treated by mental healthcare providers in other healthcare settings. More research is needed to evaluate to what extent substitution of care from specialized mental healthcare towards general practices might be associated with waiting times for specialized mental healthcare.
dc.language.isoEN
dc.publisherBMC
dc.subject.lccMedicine (General)
dc.titleHealthcare utilization patterns of individuals with depression after national policy to increase the mental health workforce in primary care: a data linkage study
dc.typeArticle
dc.description.keywordsSubstitution of Care
dc.description.keywordsMental Health Nurse
dc.description.keywordsMental Healthcare
dc.description.keywordsRoutine Healthcare Data
dc.description.keywordsElectronic Health Records
dc.description.keywordsMedical Claims Data
dc.description.pages1-10
dc.description.doi10.1186/s12875-024-02402-8
dc.title.journalBMC Primary Care
dc.identifier.e-issn2731-4553
dc.identifier.oaie75990e0cf05428bbb23fff395711898
dc.journal.infoVolume 25, Issue 1


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