Evidence map›Paper›PMID 30486784›Full record

Observational studyBMC family practice2018

Factors associated with visits to general practitioners in patients with schizophrenia in Malaga.

M C Castillejos, C Martín-Pérez, F Mayoral-Cleries, A Bordallo-Aragón, J Sepúlveda-Muñoz, B Moreno-Küstner

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMC family practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

6 authors.

M C CastillejosDepartament of Personality, Assessment and Psychological Treatment, University of Malaga, Campus Teatinos, Malaga, Spain. mccasang@gmail.com.ORCID 0000-0001-7943-6584
C Martín-PérezAndalusian Health Service, North East Granada Sanitary District, Clinical Management Unit at Marquesado, Carretera los Pozos, Alquife, Granada, Spain.
F Mayoral-CleriesClinical Management Unit of Mental Health of the Regional Hospital of Malaga, Andalusian Health Service, Paseo Limonar, Malaga, Spain.
A Bordallo-AragónClinical Management Unit of Mental Health of the Regional Hospital of Malaga, Andalusian Health Service, Paseo Limonar, Malaga, Spain.
J Sepúlveda-MuñozAlameda-Perchel basic primary care team, Health District Malaga-Guadalhorce, Andalusian Health Service, Avenida Manuel Agustín Heredia, Malaga, Spain.
B Moreno-KüstnerAndalusian Group of Psychosocial Research (GAP), Malaga, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with psychiatric disorders have more physical problems than other patients, so their follow-up by the general practitioner is particularly important for them.

methodsWe aimed to elaborate a multilevel explanatory model of general practitioner (GP) visits made by patients with schizophrenia and related disorders (SRD). An observational, cross-sectional study was conducted from January 1, 2008 to July 1, 2011, in the area of the Clinical Management Unit of Mental Health (CMU-MH) of the Regional Hospital of Malaga (Spain). The eligible population consisted of all patients with SRD in contact with a GP residing in the study area. Our dependent variable was total number GP visits. The independent variables were: 1) patient variables (sociodemographic and clinical variables); 2) primary care centre (PCC) variables. We performed descriptive analysis, bivariate analysis and multilevel regression.

resultsFour hundred ninety four patients were included. Mean annual number of GP visits was 4.1. Female sex, living in a socioeconomically deprived area, a diagnosis of schizoaffective disorder and contact with a GP who had a more active approach to mental health issues were associated with a higher number of visits whilst being single and good communication between the PCC and mental health teams were associated with a lower number of GP visits.

conclusionsNumber of GP visits was not just associated with patient factors, but also with organisational and the involvement of health professionals, for example GPs with an active approach to mental health issues.

Indexed as

Mental HealthAdultAgedAged, 80 and overAttitude of Health PersonnelCross-Sectional StudiesFemaleGeneral PractitionersHumansMaleMiddle AgedMorbidityOffice VisitsPrimary Health CareRetrospective StudiesSchizophreniaMedical follow-upPhysical carePrimary health careSchizophreniaUse of services

Identifiers

PMID30486784
PMCPMC6264610

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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.