Evidence map›Paper›PMID 29179662›Full record

ArticleInternational journal of psychiatry in medicine

Patient experience with healthcare services among older adults with serious mental illness compared to the general older population.

Karen L Fortuna, Matthew C Lohman, John A Batsis, Elizabeth A DiNapoli, Peter R DiMilia, Martha L Bruce, Stephen J Bartels

Abstract read
In one paragraph

Article in International journal of psychiatry in medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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

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

  1. Pooled it
  2. Review
  3. A qualitative exploration of older people's experience of discharge from mental health inpatient settings.International journal of qualitative studies on health and well-being · 2025
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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

7 authors.

Karen L Fortuna1 Dartmouth Centers for Health and Aging, Lebanon, NH, USA.
Matthew C Lohman1 Dartmouth Centers for Health and Aging, Lebanon, NH, USA.
John A Batsis1 Dartmouth Centers for Health and Aging, Lebanon, NH, USA.
Elizabeth A DiNapoli7 VISN 4 Mental Illness Research, Education and Clinical Center (MIRECC), VA Pittsburgh Healthcare System, PA, USA.
Peter R DiMilia1 Dartmouth Centers for Health and Aging, Lebanon, NH, USA.
Martha L Bruce3 Department of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
Stephen J Bartels1 Dartmouth Centers for Health and Aging, Lebanon, NH, USA.

Funding

SYNERGY: The Dartmouth Center for clinical and Translational ScienceUL1TR001086 · NCATS · DARTMOUTH COLLEGE · PI GREEN, ALAN I · 2013 to 2017
$18.3M
Training Geriatric Mental Health Services ResearchersT32MH073553 · NIMH · DARTMOUTH-HITCHCOCK CLINIC · PI BRUCE, MARTHA L · 2005 to 2019
$6.4M
Health Promotion and Disease Prevention Research CenterU48DP005018 · DP · DARTMOUTH COLLEGE · PI ADACHI-MEJIA, ANNA MARIA · 2014 to 2018
$5.6M
Mobile Health Obesity Wellness Intervention in Rural Older Adults_Res1K23AG051681 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BATSIS, JOHN A. · 2016 to 2022
$1.1M
ACL HHS U48DP005018NCATS NIH HHS UL1 TR001086NCCDPHP CDC HHS U48 DP005018NIA NIH HHS K23 AG051681NIMH NIH HHS T32 MH073553
6 · The paper itself

Abstract

Objective To compare patient experience with healthcare services and providers among older patients (≥50 years old) with and without serious mental illness. Methods Using secondary data from the Medical Expenditures Panel Survey from 2003 through 2013, we compared adults aged 50 years and older with schizophrenia spectrum disorder ( n = 106), mood disorders (i.e., major depressive disorder and bipolar disorder) ( n = 419), and no serious mental illness ( n = 34,921). Results Older adults with schizophrenia spectrum disorder reported significantly worse provider communication than older adults without serious mental illness. Older adults with mood disorders reported the greatest barriers to shared decision-making and the greatest difficulty accessing services. Conclusions Our results highlight the need to improve the patient experience of older adults with serious mental illness. Addressing provider communication, shared decision-making, and access to care among this vulnerable group of older adults may impact clinical outcomes and costs. Future research examining the extent to which improving the patient experience may improve health outcomes and enhance treatment for this highly vulnerable older group is warranted.

Indexed as

Decision MakingPatient SatisfactionPhysician-Patient RelationsAgedAged, 80 and overFemaleHumansMaleMental DisordersMiddle AgedSurveys and Questionnairesaccesssatisfaction with careserious mental illness

Identifiers

PMID29179662
PMCPMC6025749

What OpenQuestion holds

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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.