Socioeconomic and geographic disparities in psychiatric outcomes under Colombia's universal healthcare system.

ABSTRACT:

Background

Despite growing healthcare coverage, disparities in access to and outcomes of psychiatric care persist, even in countries with universal healthcare. How socioeconomic status (SES), travel time, and social support individually and jointly affect psychiatric clinical trajectories remains largely unexplored.

Methods

We analyze electronic health records (EHRs) from patients diagnosed with bipolar disorder, major depressive disorder, or schizophrenia at Clínica San Juan de Dios Manizales. Using zero-inflated and standard negative binomial regression, we quantify the effects of SES, travel time, and family/social support on utilization, clinical outcomes, and symptoms of mania, psychosis, and suicidality. A mixed-effects model examines how care-seeking patterns affect v

SUBMITTER: Gerdes G 

PROVIDER: S-EPMC12551587 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature