Journal
PSYCHIATRIC SERVICES
Volume 71, Issue 2, Pages 188-191Publisher
AMER PSYCHIATRIC PUBLISHING, INC
DOI: 10.1176/appi.ps.201900009
Keywords
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Funding
- University of Toronto
- Centre for Addiction and Mental Health
- Hospital for Sick Children
- Trillium Health Partners
- Ontario Ministry of Health and Long-Term Care (MOHLTC)
- Institute for Clinical Evaluative Sciences (ICES) - Ontario MOHLTC
- Gilead Sciences Canada
- St. Michael's Hospital
- Health Quality Ontario
- Canadian Institutes for Health Research
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Objective: The authors investigated demographic, clinical, and service-utilization factors that affected the quality of diabetes care among patients with schizophrenia. Methods: This was a retrospective cohort study of adults with schizophrenia and diabetes (N=26,259) in Ontario, Canada. Quality of care was based on receipt of three guideline-concordant diabetes care procedures between 2011 and 2013. A cumulative logit regression model was used to determine characteristics associated with optimal testing. Results: Factors associated with optimal diabetes testing included more frequent outpatient psychiatrist visits (odds ratio [OR] =1.28, 95% confidence interval [CI]=1.20-1.37) and primary care visits for nonmental health reasons (OR=2.10, 95% CI=1.85-2.39). High-frequency primary care visits for mental health reasons, any hospitalizations, and emergency visits for mental health reasons were associated with lower odds of testing. Conclusions: Diabetes quality of care may be contingent on receipt of medically focused primary care, psychiatric stability, and receipt of specialist psychiatric care.
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