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



Same K1 ; Shobeiri P1 ; Rashidi MM1 ; Ghasemi E1 ; Saeedi Moghaddam S1, 2 ; Mohammadi E1, 3 ; Masinaei M1 ; Salehi N1 ; Mohammadi Fateh S1 ; Farzad Maroufi S1 ; Abdolhamidi E1 ; Moghimi M1 ; Abbasikangevari Z1 ; Rezaei N1, 4 Show All Authors
Authors
  1. Same K1
  2. Shobeiri P1
  3. Rashidi MM1
  4. Ghasemi E1
  5. Saeedi Moghaddam S1, 2
  6. Mohammadi E1, 3
  7. Masinaei M1
  8. Salehi N1
  9. Mohammadi Fateh S1
  10. Farzad Maroufi S1
  11. Abdolhamidi E1
  12. Moghimi M1
  13. Abbasikangevari Z1
  14. Rezaei N1, 4
  15. Larijani B1, 5
Show Affiliations
Authors Affiliations
  1. 1. Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Kiel Institute for the World Economy, Kiel, Germany
  3. 3. Department of Neurological Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States
  4. 4. Digestive Disease Research Center (DDRC), Digestive Disease Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran

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.
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