A Global, Regional, and National Burden and Quality of Care Index for Schizophrenia: Global Burden of Disease Systematic Analysis 1990-2019.

IF 5.3 1区 医学 Q1 PSYCHIATRY Schizophrenia Bulletin Pub Date : 2024-08-27 DOI:10.1093/schbul/sbad120
Kaveh Same, Parnian Shobeiri, Mohammad-Mahdi Rashidi, Erfan Ghasemi, Sahar Saeedi Moghaddam, Esmaeil Mohammadi, Masoud Masinaei, Niloufar Salehi, Sahar Mohammadi Fateh, Seyed Farzad Maroufi, Elham Abdolhamidi, Mana Moghimi, Zeinab Abbasi-Kangevari, Negar Rezaei, Bagher Larijani
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Abstract

Background and hypothesis: Schizophrenia is a mental disorder usually presented in adulthood that affects roughly 0.3 percent of the population. The disease contributes to more than 13 million years lived with disability the global burden of disease. The current study aimed to provide new insights into the quality of care in Schizophrenia via the implementation of the newly introduced quality of care index (QCI) into the existing data.

Study design: The data from the global burden of disease database was used for schizophrenia. Two secondary indices were calculated from the available indices and used in a principal component analysis to develop a proxy of QCI for each country. The QCI was then compared between different sociodemographic index (SDI) and ages. To assess the disparity in QCI between the sexes, the gender disparity ratio (GDR) was also calculated and analyzed in different ages and SDIs.

Study results: The global QCI proxy score has improved between 1990 and 2019 by roughly 13.5%. Concerning the gender disparity, along with a rise in overall GDR the number of countries having a GDR score of around one has decreased which indicates an increase in gender disparity regarding quality of care of schizophrenia. Bhutan and Singapore had 2 of the highest QCIs in 2019 while also showing GDR scores close to one.

Conclusions: While the overall conditions in the quality of care have improved, significant disparities and differences still exist between different countries, genders, and ages in the quality of care regarding schizophrenia.

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全球、地区和国家精神分裂症负担和护理质量指数:1990-2019年全球疾病负担系统分析。
背景和假设:精神分裂症是一种通常在成年后出现的精神障碍,影响大约0.3%的人口。这种疾病导致1300多万年的残疾生活,这是全球疾病的负担。目前的研究旨在通过在现有数据中实施新引入的护理质量指数(QCI),为精神分裂症患者的护理质量提供新的见解。研究设计:来自全球疾病负担数据库的数据用于精神分裂症。根据现有指数计算出两个二级指数,并在主成分分析中使用,为每个国家制定质量控制指数的代理。然后在不同的社会人口统计指数(SDI)和年龄之间比较QCI。为了评估性别间QCI的差异,还计算并分析了不同年龄和SDI的性别差异率(GDR)。研究结果:1990年至2019年间,全球QCI代理评分提高了约13.5%。关于性别差异,随着总体GDR的上升,GDR评分约为1的国家数量减少,这表明精神分裂症护理质量方面的性别差异增加。不丹和新加坡在2019年拥有两个最高的QCI,同时GDR得分也接近一。结论:尽管精神分裂症的整体护理质量有所改善,但不同国家、性别和年龄的精神分裂症患者在护理质量方面仍存在显著差异。
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来源期刊
Schizophrenia Bulletin
Schizophrenia Bulletin 医学-精神病学
CiteScore
11.40
自引率
6.10%
发文量
163
审稿时长
4-8 weeks
期刊介绍: Schizophrenia Bulletin seeks to review recent developments and empirically based hypotheses regarding the etiology and treatment of schizophrenia. We view the field as broad and deep, and will publish new knowledge ranging from the molecular basis to social and cultural factors. We will give new emphasis to translational reports which simultaneously highlight basic neurobiological mechanisms and clinical manifestations. Some of the Bulletin content is invited as special features or manuscripts organized as a theme by special guest editors. Most pages of the Bulletin are devoted to unsolicited manuscripts of high quality that report original data or where we can provide a special venue for a major study or workshop report. Supplement issues are sometimes provided for manuscripts reporting from a recent conference.
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