for 25% less heart operations but I can't find the text now. I concludes
that in some domains people with a mental illness can get poorer quality
healthcare and this increases the risk of mortality.
Quality of medical care for people with and without comorbid mental
illness and substance misuse: systematic review of comparative studies
http://bjp.rcpsych.org/cgi/content/full/194/6/491
"
Summary
There is strong evidence to support inequalities in medical care
disadvantaging those who have a psychiatric illness or a substance use
disorder. Despite promising approaches to shared care there is a
substantial gap in routine medical care for many individuals with mental
illness or substance use disorders.2,99,100 This is most apparent in
general (internal) medicine and cardiovascular care but may also be
present in diabetes care and cancer care. There is little evidence to
suggest that the recommended enhanced medical care for individuals with
mental illness has been successfully implemented. Future work must focus
on the type and severity of mental illness, patient factors such as
adherence and systems interventions to increase the quality of care for
those with chronic mental illness.
"
I may have got the figure from this text
"
Individuals with comorbidity were significantly less likely to undergo
percutaneous transluminal coronary angiography or coronary artery bypass
graft surgery. After adjusting for demographic, clinical, hospital and
regional factors, those with mental disorders were only 41% (for
schizophrenia) to 78% (for substance misuse) as likely to undergo
cardiac catheterisation as those without mental disorders.
"
25% was a fair estimate. It's actually over 50% fewer cardiac
catherisations, however the studies are in America.
http://jama.ama-assn.org/cgi/content/full/283/24/3198
and
http://jama.ama-assn.org/cgi/content/full/283/4/506
Bugger. Blast. Fuck. I hate being wrong. It's true to say in a review
published in a UK peer-reviewed journal it stated lower quality
healthcare and over 50% less heart operations in America, but not to say
the result is true in the UK.
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