Evidence map›Paper›PMID 28673958›Full record

SynthesisThe British journal of general practice : the journal of the Royal College of General Practitioners2017

Identifying primary care quality indicators for people with serious mental illness: a systematic review.

Christoph Kronenberg, Tim Doran, Maria Goddard, Tony Kendrick, Simon Gilbody, Ceri R Dare, Lauren Aylott, Rowena Jacobs

Abstract readSystematic Review
In one paragraph

Synthesis in The British journal of general practice : the journal of the Royal College of General Practitioners, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  16. Reimagining mental health in primary care: a blueprint for STPs.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017
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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

8 authors.

Christoph KronenbergNational Research Center for Health Economics, University of Duisburg-Essen, Essen, Germany.
Tim DoranDepartment of Health Sciences.
Maria GoddardDepartment of Health Sciences.
Tony KendrickPrimary Care and Population Sciences, University of Southampton, Southampton, UK.
Simon GilbodyDepartment of Health Sciences.
Ceri R DareExpert by experience, UK.
Lauren AylottExpert by experience, UK.
Rowena JacobsCentre for Health Economics, University of York, Heslington, York, UK.

Funding

Department of Health HS&DR/13/54/40
6 · The paper itself

Abstract

backgroundSerious mental illness (SMI) - which comprises long-term conditions such as schizophrenia, bipolar disorder, and other psychoses - has enormous costs for patients and society. In many countries, people with SMI are treated solely in primary care, and have particular needs for physical care.

aimThe objective of this study was to systematically review the literature to create a list of quality indicators relevant to patients with SMI that could be captured using routine data, and which could be used to monitor or incentivise better-quality primary care. DESIGN AND

settingA systematic literature review, combined with a search of quality indicator databases and guidelines.

methodThe authors assessed whether indicators could be measured from routine data and the quality of the evidence.

resultsOut of 1847 papers and quality indicator databases identified, 27 were included, from which 59 quality indicators were identified, covering six domains. Of the 59 indicators, 52 could be assessed using routine data. The evidence base underpinning these indicators was relatively weak, and was primarily based on expert opinion rather than trial evidence.

conclusionWith appropriate adaptation for different contexts, and in line with the relative responsibilities of primary and secondary care, use of the quality indicators has the potential to improve care and to improve the physical and mental health of people with SMI. However, before the indicators can be used to monitor or incentivise primary care quality, more robust links need to be established, with improved patient outcomes.

Indexed as

Health Services ResearchPrimary Health CareCommunity Mental Health ServicesDelivery of Health Care, IntegratedHumansMental DisordersPsychiatric Status Rating ScalesQuality Assurance, Health CareQuality of Health CareRisk Factorspay-for-performance schemesprimary carequality indicatorsserious mental illnesssystematic review

Identifiers

PMID28673958
PMCPMC5519123

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.