Evidence map›Paper›PMID 27431902›Full record

Observational studyBMJ open2016

Consultations in general practices with and without mental health nurses: an observational study from 2010 to 2014.

Tessa Magnée, Derek P de Beurs, Dinny H de Bakker, Peter F Verhaak

Abstract readObservational Study
In one paragraph

Observational study in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Tessa MagnéeNetherlands Institute of Health Services Research (NIVEL), Utrecht, The Netherlands.
Derek P de BeursNetherlands Institute of Health Services Research (NIVEL), Utrecht, The Netherlands.
Dinny H de BakkerNetherlands Institute of Health Services Research (NIVEL), Utrecht, The Netherlands Tilburg University, Scientific Centre for Transformation in Care and Welfare (TRANZO), Tilburg, The Netherlands.
Peter F VerhaakNetherlands Institute of Health Services Research (NIVEL), Utrecht, The Netherlands Department of General Practice, Groningen University, Groningen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate care for patients with psychological or social problems provided by mental health nurses (MHNs), and by general practitioners (GPs) with and without MHNs.

designAn observational study with consultations recorded by GPs and MHNs.

settingData were routinely recorded in 161-338 Dutch general practices between 2010 and 2014.

participantsAll patients registered at participating general practices were included: 624 477 patients in 2010 to 1 392 187 patients in 2014. OUTCOME MEASURES: We used logistic and Poisson multilevel regression models to test whether GPs recorded more patients with at least one consultation for psychological or social problems and to analyse the number of consultations over a 5-year time period. We examined the additional effect of an MHN in a practice, and tested which patient characteristics predicted transferral from GPs to MHNs.

resultsIncreasing numbers of patients with psychological or social problems visit general practices. Increasing numbers of GPs collaborate with an MHN. GPs working in practices with an MHN record as many consultations per patient as GPs without an MHN, but they record slightly more patients with psychological or social problems (OR=1.05; 95% CI 1.02 to 1.08). MHNs most often treat adult female patients with common psychological symptoms such as depressive feelings.

conclusionsMHNs do not seem to replace GP care, but mainly provide additional long consultations. Future research should study to what extent collaboration with an MHN prevents patients from needing specialised mental healthcare.

Indexed as

General PracticeMental HealthPractice Patterns, Physicians'Psychiatric NursingReferral and ConsultationAdolescentAdultAgedChildChild, PreschoolFemaleGeneral PractitionersHumansInfantInfant, NewbornLogistic ModelsHEALTH SERVICES ADMINISTRATION & MANAGEMENTMENTAL HEALTHPRIMARY CAREPSYCHIATRY

Identifiers

PMID27431902
PMCPMC4964169

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.