E00-E07 E11 E66 I10-I15 I20-I25 I60 I61 I62 I63 I64 C50 F00-F99 G30
Conditions
Interventions
Group 1: WP1: retrospective secondary data analysis/analysis of longitudinal data of TK-insured patients with and without mental comorbidity from the years 2019-2022.
WP2 and WP4: prospective cross-se
qualitative interviews with somatically ill patients with mental comorbidity in 2021 and 2022 and a quantitative online survey of somatically ill patients with mental comorbidity in 2022.
WP3 and WP5:
qualitative interviews and focus groups in 2021 and 2022 with general physicians and medical specialists on support factors and barriers in the care of somatically ill patients with mental comorbidity
Sponsors
LVR-Institut für Forschung und Bildung
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: AP 1: Presence of one of the following somatic diseases: ICD-10-GM E01-E07 (thyroid diseases), E11 (diabetes mellitus type 2), E66 (obesity), I10-I15 (chronic ischemic heart disease), I20-I25 (arterial hypertension), I60-I64 (stroke), C50 (breast cancer); AP 2 and 4: Presence of one of the somatic disease and concurrent comorbidity of a mental disease; AP 3 and 5: General practitioners and established specialist physicians of internal medicine, psychiatry, psychotherapy and psychosomatic medicine in North Rhine-Westphalia Minimum age: 18 years. Survey period: 2016-2019 (AP1); 2020-2022 (AP2-AP5)
Exclusion criteria
Exclusion criteria: -
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The somatic health care of patients with mental comorbidity is quantitatively and qualitatively worse than the somatic care of patients without mental comorbidity. The somatic health care of patients with mental comorbidity is influenced by patient-related factors (e.g. mental disorder) and/or physician-related factors. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Mental and somatic multimorbidity is a barrier in the somatic health care of patients with mental illness. 2. Certain mental health diagnoses, such as schizophrenia, are more likely to be a barrier to somatic health care for people with mental illness than other mental health diagnoses. 3. Transitional barriers at the interfaces between the inpatient and outpatient health care sectors in the somatic and psychiatric-psychotherapeutic fields represent a barrier in health care. 4. Good health literacy of patients with mental comorbidity can be beneficial for the somatic health care. 5. Good social integration of patients with mental comorbidity has a positive influence on somatic health care. 6. Characteristics of the treating physicians (professional experience, prejudices) can have an influence on the somatic health care of patients with mental and somatic comorbidity. | — |
Countries
Germany
Contacts
Public ContactSophie Groß
LVR-Institut für Versorgungsforschung am Institut für Forschung und Bildung
Outcome results
None listed