Evidence map›Paper›PMID 31493010›Full record

ArticleSocial psychiatry and psychiatric epidemiology2020

Personal continuity versus specialisation of care approaches in mental healthcare: experiences of patients and clinicians-results of the qualitative study in five European countries.

Justyna Klingemann, Marta Welbel, Stefan Priebe, Domenico Giacco, Aleksandra Matanov, Vincent Lorant, Delphine Bourmorck, Bettina Soltmann, Steffi Pfeiffer, Elisabetta Miglietta and 2 more

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Article in Social psychiatry and psychiatric epidemiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Vital Needs of Dutch Homeless Service Users: Responsiveness of Local Services in the Light of Health Equity.International journal of environmental research and public health · 2023
    Article
  4. Article
  5. Review
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

12 authors.

Justyna KlingemannDepartment of Studies on Alcohol and Drug Dependence, Institute of Psychiatry and Neurology, ul. Sobieskiego 9, 02-957, Warsaw, Poland. jklingemann@ipin.edu.pl.ORCID http://orcid.org/0000-0002-8959-8517
Marta WelbelDepartment of Studies on Alcohol and Drug Dependence, Institute of Psychiatry and Neurology, ul. Sobieskiego 9, 02-957, Warsaw, Poland.
Stefan PriebeUnit for Social and Community Psychiatry (World Health Organisation Collaborating Centre for Mental Health Services Development), Queen Mary University of London, London, UK.
Domenico GiaccoUnit for Social and Community Psychiatry (World Health Organisation Collaborating Centre for Mental Health Services Development), Queen Mary University of London, London, UK.
Aleksandra MatanovUnit for Social and Community Psychiatry (World Health Organisation Collaborating Centre for Mental Health Services Development), Queen Mary University of London, London, UK.
Vincent LorantInstitute of Health and Society IRSS, Université Catholique de Louvain, Ecole de Santé Publique, Clos Chapelle-aux-champs, 30 bte 30.15 - 1200 Woluwe-Saint-Lambert, Brussels, Belgium.
Delphine BourmorckInstitute of Health and Society IRSS, Université Catholique de Louvain, Ecole de Santé Publique, Clos Chapelle-aux-champs, 30 bte 30.15 - 1200 Woluwe-Saint-Lambert, Brussels, Belgium.
Bettina SoltmannDepartment of Psychiatry and Psychotherapy, Carl Gustav Carus University Hospital, Technische Universität Dresden, Universitätsklinikum Carl Gustav Carus, Klinik und Poliklinik für Psychiatrie und Psychotherapie, Fetscherstraße 74, 01307, Dresden, Germany.
Steffi PfeifferDepartment of Psychiatry and Psychotherapy, Carl Gustav Carus University Hospital, Technische Universität Dresden, Universitätsklinikum Carl Gustav Carus, Klinik und Poliklinik für Psychiatrie und Psychotherapie, Fetscherstraße 74, 01307, Dresden, Germany.
Elisabetta MigliettaSection of Psychiatry, Department of Neuroscienze, Biomedicine and Movement, University of Verona, Verona, Italy.
Mirella RuggeriSection of Psychiatry, Department of Neuroscienze, Biomedicine and Movement, University of Verona, Verona, Italy.
Jacek MoskalewiczDepartment of Studies on Alcohol and Drug Dependence, Institute of Psychiatry and Neurology, ul. Sobieskiego 9, 02-957, Warsaw, Poland.

Funding

Ministerstwo Nauki i Szkolnictwa Wyższego 3153/7.PR/2014/2Seventh Framework Programme 602645
6 · The paper itself

Abstract

backgroundThe current debate on organisation of the mental health care raises a question whether to prioritise specialisation of clinical teams or personal continuity of care. The article explores the experiences of patients and clinicians regarding specialisation (SC) and personal continuity (PCC) of care in five European countries.

methodsData were obtained via in-depth, semi-structured interviews with patients (N = 188) suffering from mental disorders (F20-49) and with clinicians (N = 63). A maximum variation sampling was applied to assume representation of patients and of clinicians with different characteristics. The qualitative data from each country were transcribed verbatim, coded and analysed through a thematic analysis method.

resultsMany positive experiences of patients and clinicians with the PCC approach relate to the high quality of therapeutic relationship and the smooth transition between hospital and community care. Many positive experiences of patients and clinicians with the SC approach relate to concepts of autonomy and choice and the higher adequacy of diagnosis and treatment. Clinicians stressed system aspects of providing mental health care: more effective management structure and higher professionalization of care within SC approach and the lower risk of disengagement from treatment and reduced need for coercion, restraint, forced medication or involuntary admission within PCC.

conclusionsNeither the PCC, nor the SC approach meets the needs and expectations of all patients (and clinicians). Therefore, future reforms of mental health services should offer a free choice of either approach, considering that there is no evidence of differences in patient outcomes between PCC and SC approaches.

Indexed as

SpecializationAdultAttitude of Health PersonnelContinuity of Patient CareEuropeFemaleHumansMaleMental DisordersMental Health ServicesPatient Acceptance of Health CareQualitative ResearchResearch DesignFunctional systemIntegrated systemMental health care organisation

Identifiers

PMID31493010

What OpenQuestion holds

Textmetadata
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.