Evidence map›Paper›PMID 30803265›Full record

ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2019

Closed for Business? Using a Mixture Model to Explore the Supply of Psychiatric Care for New Patients.

David Rudoler, Claire de Oliveira, Juveria Zaheer, Paul Kurdyak

Abstract read
In one paragraph

Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Open for Business.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2019
    Article
  8. Open for Business: Chatbots, E-therapies, and the Future of Psychiatry.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2019
    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

4 authors.

David Rudoler1 Faculty of Health Sciences, University of Ontario Institute of Technology, Oshawa, Ontario.
Claire de Oliveira2 Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Ontario.
Juveria Zaheer2 Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Ontario.
Paul Kurdyak2 Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Ontario.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the degree to which psychiatrists are accessible to new outpatients and the factors that predict whether psychiatrists will see new outpatients.

methodsWe used administrative health data on all practicing full-time psychiatrists in Ontario, Canada, over a 5-year period (2009-2010 to 2013-2014). We used a regression model to estimate the number of new outpatients seen, accounting for case mix, outpatient volume, and psychiatrist practice characteristics.

resultsApproximately 10% of full-time psychiatrists are seeing 1 or fewer new outpatients per month, and another 10% are seeing between 1 and 2 new outpatients per month. Our model identified psychiatrists in 3 distinct practice styles. One practice style (representing 29% of psychiatrists), on average, saw fewer than 2 new outpatients per month and 69 unique outpatients annually. Relative to other practice styles, they tended to see fewer patients with a previous psychiatric hospitalization and fewer patients who lived in lower income neighbourhoods.

conclusionsNearly 1 in 3 full-time psychiatrists in Ontario see very few new outpatients. This has implications for access to care, particularly for outpatients with newly diagnosed mental illness. It also highlights the continued need to address access issues by assessing the role of psychiatrists within the Canadian health care system.

Indexed as

Health Services AccessibilityHumansMental DisordersMental Health ServicesModels, StatisticalOntarioOutpatientsPhysiciansPractice Patterns, Physicians'Psychiatryaccess to psychiatric carecommunity psychiatryhealth resourceslatent profile analysismental health servicesmixture model

Identifiers

PMID30803265
PMCPMC6681508

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.