Nationwide Evaluation of Quality of Care Indicators for Individuals with Severe Mental Illness and Diabetes Mellitus, Following Israel’s Mental Health Reform

Deborah Barasche-Berdah, Eliana Ein-Mor, Ronit Calderon-Margalit, Adam J. Rose, Michal Krieger, Shuli Brammli-Greenberg, Arye Ben-Yehuda, Orly Manor, Arnon D. Cohen, Edna Bar-Ratson, Ronen Bareket, Eran Matz, Ora Paltiel

Research output: Contribution to journalArticlepeer-review

Abstract

Diabetes Mellitus (DM) is more common among individuals with severe mental illness (SMI). We aimed to assess quality-of-care-indicators in individuals with SMI following the 2015 Israel’s Mental-Health-reform. We analyzed yearly changes in 2015–2019 of quality-of-care-measures and intermediate-DM-outcomes, with adjustment for gender, age-group, and socioeconomic status (SES) and compared individuals with SMI to the general adult population. Adults with SMI had higher prevalences of DM (odds ratio (OR) = 1.64; 95% confidence intervals (CI): 1.61–1.67) and obesity (OR = 2.11; 95% CI: 2.08–2.13), compared to the general population. DM prevalence, DM control, and obesity rates increased over the years in this population. In 2019, HbA1c testing was marginally lower (OR = 0.88; 95% CI: 0.83–0.94) and uncontrolled DM (HbA1c > 9%) slightly more common among patients with SMI (OR = 1.22; 95% CI: 1.14–1.30), control worsened by decreasing SES. After adjustment, uncontrolled DM (adj. OR = 1.02; 95% CI: 0.96–1.09) was not associated with SMI. Cardio-metabolic morbidity among patients with SMI may be related to high prevalences of obesity and DM rather than poor DM control. Effective screening for metabolic diseases in this population and social reforms are required.

Original languageAmerican English
Pages (from-to)354-365
Number of pages12
JournalCommunity Mental Health Journal
Volume60
Issue number2
Early online date11 Sep 2023
DOIs
StatePublished - 1 Feb 2024

Keywords

  • Diabetes mellitus
  • Health disparities
  • Mental health
  • Public health
  • Quality care

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

Fingerprint

Dive into the research topics of 'Nationwide Evaluation of Quality of Care Indicators for Individuals with Severe Mental Illness and Diabetes Mellitus, Following Israel’s Mental Health Reform'. Together they form a unique fingerprint.

Cite this