{"id":17080,"date":"2023-11-30T15:45:00","date_gmt":"2023-11-30T20:45:00","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&#038;p=17080"},"modified":"2023-12-07T15:53:19","modified_gmt":"2023-12-07T20:53:19","slug":"access-to-a-regular-primary-care-physician-among-young-people","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/access-to-a-regular-primary-care-physician-among-young-people\/","title":{"rendered":"Access to a regular primary care physician among young people with early psychosis in Ontario, Canada"},"content":{"rendered":"<p><strong>Aim<\/strong> \u2014 Access to a primary care physician in early psychosis facilitates help-seeking and engagement with psychiatric treatment. We examined access to a regular primary care physician in people with early psychosis, compared to the general population, and explored factors associated with access.<\/p>\n<p><strong>Methods<\/strong> \u2014 Using linked health administrative data from Ontario (Canada), we identified people aged 14\u201335\u2009years with a first diagnosis of nonaffective psychotic disorder (<em>n<\/em>\u2009=\u200939\u2009449; 2005\u20132015). We matched cases to four randomly selected general population controls based on age, sex, neighbourhood, and index date (n\u2009=\u2009157\u2009796). We used modified Poisson regression to estimate prevalence ratios (PR) for access to a regular primary care physician in the year prior to first diagnosis of psychotic disorder, and the sociodemographic and clinical factors associated with access.<\/p>\n<p><strong>Results<\/strong> \u2014 A larger proportion of people with early psychosis had a regular primary care physician, relative to the general population (89% vs. 68%; PR\u2009=\u20091.30, 95%CI\u2009=\u20091.30\u20131.31). However, this was accounted for by a higher prevalence of comorbidities among people with psychosis, and this association was no longer present after adjustment (PR\u2009=\u20090.97, 95%CI\u2009=\u20090.97, 0.98). People with early psychosis who were older, male, refugees and those residing in lower income or high residential instability neighbourhoods were less likely to have a regular primary care physician.<\/p>\n<p><strong>Conclusion<\/strong> \u2014 Approximately one in ten young people with early psychosis in Ontario lack access to a regular primary care physician. Strategies to improve primary care physician access are needed for management of physical comorbidities and to ensure continuity of care.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Aim \u2014 Access to a primary care physician in early psychosis facilitates help-seeking and engagement with psychiatric treatment. We examined access to a regular primary care physician in people with early psychosis, compared to the general population, and explored factors associated with access. Methods \u2014 Using linked health administrative data from Ontario (Canada), we identified [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[16,34,28],"migration-helper-qa-sample-set":[],"class_list":["post-17080","journal_article","type-journal_article","status-publish","hentry","topic-children-and-young-people","topic-mental-health-and-addictions","topic-primary-care"],"acf":{"citation":"Rodrigues R, Reid JNS, Wiener JC, Archie S, Booth RG, Cheng C, MacDougall AG, Palaniyappan L, Ryan BL, Voineskos A, Kurdyak P, Jan SH, Anderson KK; project co-investigators. 2023; Nov 30 [Epub ahead of print].","source_url":"https:\/\/doi.org\/10.1111\/eip.13487","ices_scientist":[1162,1152,1377],"site":[6739],"research_program":[6744],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Access to a regular primary care physician among young people with early psychosis in Ontario, Canada<\/title>\n<meta name=\"description\" content=\"Aim \u2014 Access to a primary care physician in early psychosis facilitates help-seeking and engagement with psychiatric treatment. We examined access to a\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/access-to-a-regular-primary-care-physician-among-young-people\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICES | Access to a regular primary care physician among young people with early psychosis in Ontario, Canada\" \/>\n<meta property=\"og:description\" content=\"Aim \u2014 Access to a primary care physician in early psychosis facilitates help-seeking and engagement with psychiatric treatment. 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