Assessment and treatment of physical health problems among people with schizophrenia: national cross-sectional study

作者：Crawford Mike J^*; Jayakumar Simone; Lemmey Suzie J; Zalewska Krysia; Patel Maxine X; Cooper Stephen J; Shiers David

来源：The British Journal of Psychiatry, 2014, 205(6): 473-477.

DOI：10.1192/bjp.bp.113.142521

Background
In the UK and other high-income countries, life expectancy in people with schizophrenia is 20% lower than in the general population.
Aims
To examine the quality of assessment and treatment of physical health problems in people with schizophrenia.
Method
Retrospective audit of records of people with schizophrenia or schizoaffective disorder aged >= 18. We collected data on nine key aspects of physical health for 5091 patients and combined these with a cross-sectional patient survey.
Results
Body mass index was recorded in 2599 (51.1%) patients during the previous 12 months and 1102 (21.6%) had evidence of assessment of all nine key measures. Among those with high blood sugar, there was recorded evidence of 53.5% receiving an appropriate intervention. Among those with dyslipidaemia, this was 19.9%. Despite this, most patients reported that they were satisfied with the physical healthcare they received.
Conclusions
Assessment and treatment of common physical health problems in people with schizophrenia falls well below acceptable standards. Cooperation and communication between primary and secondary care services needs to improve if premature mortality in this group is to be reduced.

• 出版日期2014-12