ArticleQuality & safety in health care2004
Improving the quality of mental health services in Personal Medical Services pilots: a longitudinal qualitative study.
Article in Quality & safety in health care, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
3 citing papers in PubMed, 9 citations in OpenAlex.
- Barriers and facilitators to integrating primary and specialist healthcare in the United Kingdom: a narrative literature review.Future healthcare journal · 2018Review
- The contribution of general practice and the general practitioner to NHS patients.Journal of the Royal Society of Medicine · 2006Article
- Improvements in quality of clinical care in English general practice 1998-2003: longitudinal observational study.BMJ (Clinical research ed.) · 2005Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA series of government initiatives in the UK have included strategies to improve the quality of services received by patients, including fundholding, the development of National Service Frameworks, clinical governance, and Personal Medical Services (PMS). PMS represents a new contractual arrangement between government and general practitioners (GPs) which provides new investment in return for more detailed specification of processes and outcomes of care.
objectivesTo evaluate the effects of PMS on the quality of primary mental health care between 1998 and 2001.
designMultiple longitudinal case studies. Semi-structured interviews with key staff within practices (GPs, nurses, practice managers) and outside (health authority and primary care group/trust managers). SAMPLE: Six first wave PMS sites which had specifically planned to improve their mental health care.
resultsImprovements in mental health care were found in some PMS practices and not in others. Five mechanisms associated with successful quality improvement in mental health were identified: clear goals, effective teamwork within the practice, routine use of protocols and audits, additional resources, and effective collaboration with community and secondary care. Sites where these factors were not present struggled to meet their objectives.
conclusionThe five mechanisms which resulted in improved mental health care were facilitated by the new contractual arrangements in PMS. The new contracts were not a necessary part of these changes, but they enabled sites with an identified interest and motivation to make the changes. The contractual changes were not in themselves sufficient to improve care.
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Registered trials
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