EUPHA
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This study examined health care use patterns before and after being granted disability pension due to common mental disorders in Sweden. The researchers analyzed data from two time periods: 2005-2006 and 2009-2010, before and after stricter granting criteria were introduced. They found that the incidence of disability pension was six times higher before the stricter criteria. Healthcare use, including inpatient and specialized outpatient care, generally increased in the years leading up to being granted disability pension and then declined after. Healthcare use was higher overall in the later time period when stricter criteria were in place. Less than 50% of individuals received specialized care in the year before being granted disability pension.
EUPHA
- 1. Trajectories of health care use before and after granted disability pension due to common mental disorders- a nationwide register-based study in Sweden In Collaboration with Ellenor Mittendorfer-Rutz, Kristina Alexanderson, Jussi Jokinen, Petter Tingh旦g Syed Rahman (syed.rahman@ki.se) Division of Insurance Medicine, Karolinska Institutet, Stockholm, Sweden
- 2. Background and Aim Despite common mental disorders (CMD) now being frequent underlying diagnoses for granting disability pension (DP), knowledge is sparse regarding healthcare use patterns around DP granting time Studies suggest an increase in prescribed psychotropics and in self-reported symptoms of depression and anxiety just before DP, and a decrease later oThis study aimed to identify if transition to DP due to CMD is associated with changes in in- and specialized outpatient healthcare use if the trajectories of healthcare use are different before and after changes in DP granting criteria 27 juli 2016Syed Rahman 2
- 3. Methods Two cohorts, before and following inclusion of stricter DP granting criteria Inclusion : age 19-64, DP due to CMD granted in 2005-06 (wave1) or in 2009-10 (wave2), without missing in socio-demographics n=24292 and n=4056, respectively Analyses: trajectory analyses for 3 years before, year during and 3 years after DP by repeated-measure logistic regression wirth Generalized Estimating Equations and Chi-square for differences Adjusted for sex, age, education, place of residence, country of birth and family situation Health care: in- or specialised outpatient care due to mental or somatic diagnoses 27/07/2016Syed Rahman 3
- 4. Trajectory differences 27 juli 2016Syed Rahman 4 .03 .04 .05 .06 .07 .08 .09 t-3 t-2 t-1 t0 t+1 t+2 t+3 Estimatedprevalence Inpatient care due to mental diagnoses wave 1 wave 2(after) .09 .14 .19 .24 .29 .34 .39 .44 .49 .54 .59 t-3 t-2 t-1 t0 t+1 t+2 t+3 Estimatedprevalence Specialized outpatient care due to mental diagnoses wave 1 wave 2 (after) .4 .6 .8 1.0 1.2 t-3 t-2 t-1 t0 t+1 t+2 t+3 Inpatient care due to mental diagnoses wave1 wave2 (after) .2 .4 .6 .8 1.0 1.2 1.4 t-3 t-2 t-1 t0 t+1 t+2 t+3 Specialized outpatient care due to mental diagnoses wave1 wave2 (after)
- 5. Conclusions Incidence of DP due to CMD was 6 times higher before inclusion of stricter criteria Trajectories, in general, were similar in both waves, increasing up until 1 year prior to DP and declining immediately after Prevalence of healthcare use in wave 2 was higher than wave 1 Overall, <50% of individuals receive specialized care 1 year prior to DP granting 27 juli 2016Syed Rahman 5
- 6. Conclusions Incidence of DP due to CMD was 6 times higher before inclusion of stricter criteria Trajectories, in general, were similar in both waves, increasing up until 1 year prior to DP and declining immediately after Prevalence of healthcare use in wave 2 was higher than wave 1 Overall, <50% of individuals receive specialized care 1 year prior to DP granting 27 juli 2016Syed Rahman 6 Thank you ! Syed Rahman syed.rahman@ki.se Division of Insurance Medicine Department of Clinical Neurosciences Karolinska Institutet, Sweden
Editor's Notes
- - investigating transition effect of disability pension (DP) on the subsequent mental health status