{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T01:54:29Z","timestamp":1781056469351,"version":"3.54.1"},"reference-count":42,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Geestkracht program of the Dutch Scientific Organization","award":["10-000-1002"],"award-info":[{"award-number":["10-000-1002"]}]},{"DOI":"10.13039\/100013017","name":"vanderbilt university medical center","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100013017","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005039","name":"Leiden University Medical Center","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005039","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100005075","name":"universitair medisch centrum groningen","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005075","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Scientific Institute for Quality of Healthcare"},{"DOI":"10.13039\/501100003298","name":"Netherlands Institute for Health Services Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003298","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Netherlands Institute of Mental Health and Addiction"},{"name":"Netherlands Ministry of Health, Welfare and Sport"},{"name":"Medical Sciences Department of the Netherlands Organization for Scientific Research"},{"DOI":"10.13039\/501100007192","name":"National Institute for Public Health and Environment","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007192","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Ministry of Health, Welfare and Sport, with supplementary support from the Netherlands Organization for Health Research and Development"},{"name":"Genetic Risk and Outcome of Psychosis (GROUP) investigators"},{"name":"Ministry of Welfare, Health and Cultural Affairs and the National Council of Sickness Funds"},{"name":"Foundation for Medical and Health Research (MEDIGON) of the NWO","award":["900-556-002"],"award-info":[{"award-number":["900-556-002"]}]},{"name":"Dutch Prevention Fund","award":["28-1209"],"award-info":[{"award-number":["28-1209"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health\ufffdServ\ufffdInsights"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>As mental disorders impact quality of life and result in high costs for society, it is important patients receive timely and adequate care. This scoping review first aims to summarize which factors contribute to specialized mental health care (SMHC) use. Within the Dutch health care system, the general practitioner (GP) is the filter for SMHC and care use costs are relatively low. Second, to organize factors by Andersen and Newman\u2019s care utilization model in illness level, predisposing, and enabling factors. Third, to assess equity of access to SMHC in the Netherlands. A health care system is equitable when illness level and the demographic predisposing factors age and gender account for most variation in care use and inequitable when enabling factors and social predisposing factors such as education predominate. We identified 13 cross-sectional and cohort studies in the Netherlands published between 1970 and September 2020 with 20 assessed factors. Illness level factors, disease severity, diagnosis, personality, and comorbidity contributed the most to SMHC use. Predisposing factors related to a more solitary lifestyle contributed to a lesser degree. Enabling factors income and urbanicity contributed the least to SMHC use. These results imply inequity. Factors that did not fit the care utilization model were GP related, for example the ability to recognize mental disorders. This emphasizes their importance in a system where patients are dependent on GPs for access to SMHC. Focus should be on improving recognition of mental disorders by GPs as well as collaboration with mental health care professionals.<\/jats:p>","DOI":"10.1177\/11786329211048134","type":"journal-article","created":{"date-parts":[[2021,10,10]],"date-time":"2021-10-10T04:11:35Z","timestamp":1633839095000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Factors of Specialized Mental Health Care Use in the Netherlands: A Scoping Review Applying Andersen-Newman\u2019s Care Utilization Model"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1058-5845","authenticated-orcid":false,"given":"Daphne Aim\u00e9e","family":"Van der Draai","sequence":"first","affiliation":[{"name":"GGZ Delfland, Delft, The Netherlands"},{"name":"Amsterdam UMC, location GGZ inGeest and VU Medical Center, Department of Psychiatry, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik","family":"Van Duijn","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Leiden University Medical Center, Leiden, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derek Paul","family":"De Beurs","sequence":"additional","affiliation":[{"name":"Trimbos-Instituut, Utrecht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anika","family":"Bexkens","sequence":"additional","affiliation":[{"name":"GGZ Delfland, Delft, The Netherlands"},{"name":"Department of Psychology, Developmental and Educational Psychology, Leiden University, Leiden, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aartjan Theodoor Frans","family":"Beekman","sequence":"additional","affiliation":[{"name":"Amsterdam UMC, location GGZ inGeest and VU Medical Center, Department of Psychiatry, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,10,8]]},"reference":[{"key":"bibr1-11786329211048134","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-010-0334-8"},{"key":"bibr2-11786329211048134","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)60692-4"},{"key":"bibr3-11786329211048134","unstructured":"World Health Organization. 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