| アブストラクト | BACKGROUND: Physical health checks in primary care for people with severe mental illness ((SMI) defined as schizophrenia, bipolar disorders and non-organic psychosis) aim to reduce health inequalities. Patients who decline or are deemed unsuitable for screening are removed from the denominator used to calculate incentivisation, termed exception reporting. AIMS: To describe the prevalence of, and patient characteristics associated with, exception reporting in patients with SMI. METHOD: We identified adult patients with SMI from the UK Clinical Practice Research Datalink (CPRD), registered with a general practice between 2004 and 2018. We calculated the annual prevalence of exception reporting and investigated patient characteristics associated with exception reporting, using logistic regression. RESULTS: Of 193 850 patients with SMI, 27.7% were exception reported from physical health checks at least once. Exception reporting owing to non-response or declining screening increased over the study period. Patients of Asian or Black ethnicity (Asian: odds ratio 0.72, 95% CI 0.65-0.80; Black: odds ratio 0.86, 95% CI 0.76-0.97; compared with White) and women (odds ratio 0.90, 95% CI 0.88-0.92) had a reduced odds of being exception reported, whereas patients diagnosed with 'other psychoses' (odds ratio 1.19, 95% CI 1.15-1.23; compared with bipolar disorder) had increased odds. Younger patients and those diagnosed with schizophrenia were more likely to be exception reported owing to informed dissent. CONCLUSIONS: Exception reporting was common in people with SMI. Interventions are required to improve accessibility and uptake of physical health checks to improve physical health in people with SMI. |
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| ジャーナル名 | The British journal of psychiatry : the journal of mental science |
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| Pubmed追加日 | 2025/5/16 |
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| 投稿者 | Launders, Naomi; Jackson, Caroline A; Hayes, Joseph F; John, Ann; Stewart, Robert; Iveson, Matthew H; Bramon, Elvira; Guthrie, Bruce; Mercer, Stewart W; Osborn, David P J |
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| 組織名 | Division of Psychiatry, University College London, London, UK.;Usher Institute, University of Edinburgh, Edinburgh, UK.;Camden and Islington NHS Foundation Trust, London, UK.;Swansea University Medical School, Swansea University, Swansea, UK.;Institute of Psychiatry, Psychology and Neuroscience, King's College London,;London, UK.;South London and Maudsley NHS Foundation Trust, London, UK.;Division of Psychiatry, Centre for Clinical Brain Sciences, University of;Edinburgh, Edinburgh, UK. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/40377164/ |
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