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

Summary: How good is schizophrenia care globally? A study shows care quality improved 13.5% from 1990-2019, but gender and regional gaps persist, urging better access. #MentalHealth #Schizophrenia

Same K¹ ; Shobeiri P¹ ; Rashidi MM¹ ; Ghasemi E¹ ; Saeedi Moghaddam S^{1, 2} ; Mohammadi E^{1, 3} ; Masinaei M¹ ; Salehi N¹ ; Mohammadi Fateh S¹ ; Farzad Maroufi S¹ ; Abdolhamidi E¹ ; Moghimi M¹ ; Abbasikangevari Z¹ ; Rezaei N^{1, 4} Show All Authors
Source: Schizophrenia Bulletin Published:2024

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. © 2023 The Author(s). Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. All rights reserved.