Geographical accessibility and duration of untreated psychosis: Distance as a determinant of treatment delay
Source at http://dx.doi.org/10.1186/s12888-017-1345-8 Background: The duration of untreated psychosis is determined by both patient and service related factors. Few studies have considered the geographical accessibility of services in relation to treatment delay in early psychosis. To address this,...
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ftunivtroemsoe:oai:munin.uit.no:10037/11607 2023-05-15T17:43:36+02:00 Geographical accessibility and duration of untreated psychosis: Distance as a determinant of treatment delay Kvig, Erling Inge Brinchmann, Beate Moe, Cathrine Fredriksen Nilssen, Steinar Larsen, Tor Ketil Sørgaard, Knut W. 2017-05-10 https://hdl.handle.net/10037/11607 https://doi.org/10.1186/s12888-017-1345-8 eng eng BMJ Publishing Group BMC Psychiatry Kvig EI, Brinchmann B, Moe CF, Nilssen S, Larsen TK, Sørgaard KSO. Geographical accessibility and duration of untreated psychosis: Distance as a determinant of treatment delay. BMC Psychiatry. 2017;17:176:1-10 FRIDAID 1487035 doi:10.1186/s12888-017-1345-8 1471-244X https://hdl.handle.net/10037/11607 openAccess VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Psychiatry child psychiatry: 757 VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Psykiatri barnepsykiatri: 757 VDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806 VDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806 Journal article Tidsskriftartikkel Peer reviewed 2017 ftunivtroemsoe https://doi.org/10.1186/s12888-017-1345-8 2021-06-25T17:55:25Z Source at http://dx.doi.org/10.1186/s12888-017-1345-8 Background: The duration of untreated psychosis is determined by both patient and service related factors. Few studies have considered the geographical accessibility of services in relation to treatment delay in early psychosis. To address this, we investigated whether treatment delay is co-determined by straight-line distance to hospital based specialist services in a mainly rural mental health context. Methods: A naturalistic cross-sectional study was conducted among a sample of recent onset psychosis patients in northern Norway (n = 62). Data on patient and service related determinants were analysed. Results: Half of the cohort had a treatment delay longer than 4.5 months. In a binary logistic regression model, straight-line distance was found to make an independent contribution to delay in which we controlled for other known risk factors. Conclusions: The determinants of treatment delay are complex. This study adds to previous studies on treatment delay by showing that the spatial location of services also makes an independent contribution. In addition, it may be that insidious onset is a more important factor in treatment delay in remote areas, as the logistical implications of specialist referral are much greater than for urban dwellers. The threshold for making a diagnosis in a remote location may therefore be higher. Strategies to reduce the duration of untreated psychosis in rural areas would benefit from improving appropriate referral by crisis services, and the detection of insidious onset of psychosis in community based specialist services. Article in Journal/Newspaper Northern Norway University of Tromsø: Munin Open Research Archive Norway BMC Psychiatry 17 1 |
institution |
Open Polar |
collection |
University of Tromsø: Munin Open Research Archive |
op_collection_id |
ftunivtroemsoe |
language |
English |
topic |
VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Psychiatry child psychiatry: 757 VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Psykiatri barnepsykiatri: 757 VDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806 VDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806 |
spellingShingle |
VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Psychiatry child psychiatry: 757 VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Psykiatri barnepsykiatri: 757 VDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806 VDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806 Kvig, Erling Inge Brinchmann, Beate Moe, Cathrine Fredriksen Nilssen, Steinar Larsen, Tor Ketil Sørgaard, Knut W. Geographical accessibility and duration of untreated psychosis: Distance as a determinant of treatment delay |
topic_facet |
VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Psychiatry child psychiatry: 757 VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Psykiatri barnepsykiatri: 757 VDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806 VDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806 |
description |
Source at http://dx.doi.org/10.1186/s12888-017-1345-8 Background: The duration of untreated psychosis is determined by both patient and service related factors. Few studies have considered the geographical accessibility of services in relation to treatment delay in early psychosis. To address this, we investigated whether treatment delay is co-determined by straight-line distance to hospital based specialist services in a mainly rural mental health context. Methods: A naturalistic cross-sectional study was conducted among a sample of recent onset psychosis patients in northern Norway (n = 62). Data on patient and service related determinants were analysed. Results: Half of the cohort had a treatment delay longer than 4.5 months. In a binary logistic regression model, straight-line distance was found to make an independent contribution to delay in which we controlled for other known risk factors. Conclusions: The determinants of treatment delay are complex. This study adds to previous studies on treatment delay by showing that the spatial location of services also makes an independent contribution. In addition, it may be that insidious onset is a more important factor in treatment delay in remote areas, as the logistical implications of specialist referral are much greater than for urban dwellers. The threshold for making a diagnosis in a remote location may therefore be higher. Strategies to reduce the duration of untreated psychosis in rural areas would benefit from improving appropriate referral by crisis services, and the detection of insidious onset of psychosis in community based specialist services. |
format |
Article in Journal/Newspaper |
author |
Kvig, Erling Inge Brinchmann, Beate Moe, Cathrine Fredriksen Nilssen, Steinar Larsen, Tor Ketil Sørgaard, Knut W. |
author_facet |
Kvig, Erling Inge Brinchmann, Beate Moe, Cathrine Fredriksen Nilssen, Steinar Larsen, Tor Ketil Sørgaard, Knut W. |
author_sort |
Kvig, Erling Inge |
title |
Geographical accessibility and duration of untreated psychosis: Distance as a determinant of treatment delay |
title_short |
Geographical accessibility and duration of untreated psychosis: Distance as a determinant of treatment delay |
title_full |
Geographical accessibility and duration of untreated psychosis: Distance as a determinant of treatment delay |
title_fullStr |
Geographical accessibility and duration of untreated psychosis: Distance as a determinant of treatment delay |
title_full_unstemmed |
Geographical accessibility and duration of untreated psychosis: Distance as a determinant of treatment delay |
title_sort |
geographical accessibility and duration of untreated psychosis: distance as a determinant of treatment delay |
publisher |
BMJ Publishing Group |
publishDate |
2017 |
url |
https://hdl.handle.net/10037/11607 https://doi.org/10.1186/s12888-017-1345-8 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Northern Norway |
genre_facet |
Northern Norway |
op_relation |
BMC Psychiatry Kvig EI, Brinchmann B, Moe CF, Nilssen S, Larsen TK, Sørgaard KSO. Geographical accessibility and duration of untreated psychosis: Distance as a determinant of treatment delay. BMC Psychiatry. 2017;17:176:1-10 FRIDAID 1487035 doi:10.1186/s12888-017-1345-8 1471-244X https://hdl.handle.net/10037/11607 |
op_rights |
openAccess |
op_doi |
https://doi.org/10.1186/s12888-017-1345-8 |
container_title |
BMC Psychiatry |
container_volume |
17 |
container_issue |
1 |
_version_ |
1766145712153690112 |