Evidence map›Paper›PMID 27713834›Full record

ArticleBJPsych open2016

Loss of relational continuity of care in schizophrenia: associations with patient satisfaction and quality of care.

Rahil Sanatinia, Violet Cowan, Kirsten Barnicot, Krysia Zalewska, David Shiers, Stephen J Cooper, Mike J Crawford

Open access · goldAbstract read
In one paragraph

Article in BJPsych open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 6% of its field
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
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

7 authors at 3 institutions in 1 country.

Rahil SanatiniaMD, Centre for Mental Health, Imperial College London, London, UK.
Violet Cowan, BSc, Centre for Mental Health, Imperial College London, London, UK.
Kirsten Barnicot, PhD, Centre for Mental Health, Imperial College London, London, UK.
Krysia Zalewska, BSc, College Centre for Quality Improvement, Royal College of Psychiatrists, London, UK.
David Shiers, MBChB MRCGP, College Centre for Quality Improvement, Royal College of Psychiatrists, London, UK.
Stephen J Cooper, MD, College Centre for Quality Improvement, Royal College of Psychiatrists, London, UK.
Mike J Crawford, MD, College Centre for Quality Improvement, Royal College of Psychiatrists, London, UK.
Royal College of Psychiatrists · GBImperial College London · GBCentre for Mental Health · GB

Funding

Department of Health PDF-2013-06-054
6 · The paper itself

Abstract

backgroundUsers of mental health service are concerned about changes in clinicians providing their care, but little is known about their impact.

aimsTo examine associations between changes in staff, and patient satisfaction and quality of care.

methodA national cross-sectional survey of 3379 people aged 18 or over treated in secondary care for schizophrenia or schizoaffective disorder.

resultsNearly 41.9% reported at least one change in their key worker during the previous 12 months and 10.5% reported multiple changes. Those reporting multiple changes were less satisfied with their treatment and less likely to report having a care plan, knowing how to obtain help when in a crisis or to have had recommended physical health assessments.

conclusionsFrequent changes in staff providing care for people with psychosis are associated with poorer quality of care. Greater efforts need to be made to protect relational continuity of care for such patients. DECLARATION OF INTEREST: M.J.C. was co-chair of the expert advisory group on the NICE quality standard on Service User Experience in Adult Mental Health. S.J.C. has previously been a member of the Health and Social Care Board Northern Ireland Formulary Committee. D.S. received a speaker's fee from Janssen Cilag in 2011. He is a topic expert on NICE guideline for psychosis and schizophrenia in children and young people and a board member of National Collaborating Centre for Mental Health. COPYRIGHT AND USAGE: © The Royal College of Psychiatrists 2016. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) license.

Identifiers

PMID27713834
PMCPMC5052512
OpenAlexW2529729269

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.