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Fam Pract. 2007 Feb;24(1):34-40. Epub 2006 Oct 24.

Physical health care of patients with schizophrenia in primary care: a comparative study.

Author information

1
Department of Primary Care and General Practice, University of Birmingham Edgbaston, Birmingham, B15 2TT, UK. l.m.roberts@bham.ac.uk

Abstract

BACKGROUND:

Excess morbidity and mortality associated with schizophrenia is well established. Despite this, no previous multi-centre study has investigated whether patients with schizophrenia receive equitable physical healthcare within primary care.

OBJECTIVE:

To determine whether patients with a diagnosis of schizophrenia receive the same levels of physical health care from primary care practitioners as patients without schizophrenia.

METHODS:

DESIGN:

Case-matched retrospective case note review.

SETTING:

Twenty-two general practices in the Birmingham area (UK).

SUBJECTS:

195 patients with a diagnosis of schizophrenia, 390 matched controls with a diagnosis of asthma and 390 general control patients.

MAIN OUTCOME MEASURES:

Proportions of patients within each group having received six pre-defined routine health checks in a 3 year period. Conditional logistic regression models were used to identify differences between groups.

RESULTS:

Patients with schizophrenia were half as likely as asthma controls to have blood pressure and cholesterol levels recorded (odds ratio 0.51; 95% confidence interval (CI) 1.35-0.73 and 0.50; 0.31-0.82, respectively) and were also less likely to have smoking status noted (0.60; 0.41-0.85). Similarly, patients with schizophrenia were significantly less likely than general population controls to have either blood pressure or cholesterol recorded (0.68; 0.47-0.97 and 0.58; 0.35-0.95). The significant differences observed were maintained after adjusting for potential confounders with the exception of cholesterol recording between the asthma and schizophrenia groups (0.57; 0.30-1.05).

CONCLUSIONS:

Patients with a diagnosis of schizophrenia are less likely to receive some important general health checks than patients without schizophrenia.

PMID:
17062587
DOI:
10.1093/fampra/cml054
[Indexed for MEDLINE]
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