Observational studyHealth services research2019
Impact of family practice continuity of care on unplanned hospital use for people with serious mental illness.
Observational study in Health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Relational continuity may give better clinical outcomes in patients with serious mental illness - a systematic review.BMC psychiatry · 2023Pooled it
- Factors Associated with the Frequency of Treatment Admissions Over A 13-year Period Among Patients with Gambling Disorder.Journal of gambling studies · 2026Article
- Continuity of care in UK primary care: a scoping review of measures, challenges, and future interventions.Primary health care research & development · 2026Article
- Chronic Disease Management Among People Treated for Comorbid Serious Mental Illness and/or Substance Use Disorders: A Population-Based Observational Study.Community mental health journal · 2026Article
- Effect of Continuity of Care on Emergency Care and Hospital Admissions Among Patients Receiving Home-Based Care: A Population-Based Cohort Study.Annals of family medicine · 2026Article
- Jess's Rule: advocating for continuity, ownership, and generalism in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Factors driving implementation success of mental health gap action programme (mhGAP) in Colombia: a cross-sectional study.Discover mental health · 2025Article
- Quantifying, Understanding and Enhancing Relational Continuity of Care (QUERCC): a mixed-methods protocol.BMJ open · 2025Article
- Profiles of physician follow-up care, correlates and outcomes among patients affected by an incident mental disorder.BMC primary care · 2025Observational
- Article
- Differential impacts of the COVID-19 pandemic on mental health service access among Medicaid-enrolled individuals.Health affairs scholar · 2024Article
- Continuity and breaches in GP care and their associations with mortality for patients with chronic disease: an observational study using Norwegian registry data.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Observational
- Predictors of Physician Follow-Up Care Among Patients Affected by an Incident Mental Disorder Episode in Quebec (Canada).Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2024Observational
- Are efforts to recruit to psychiatry closing the stable door after the horse has bolted? Knowledge and attitudes towards a career in psychiatry amongst secondary (high) school students: a UK-based cross-sectional survey.Journal of mental health (Abingdon, England) · 2024Article
- Article
- Incidence and associations of hospital delirium diagnoses in 85,979 people with severe mental illness: A data linkage study.Acta psychiatrica Scandinavica · 2023Article
- Impact of the family doctor system on the continuity of care for diabetics in urban China: a difference-in-difference analysis.BMJ open · 2023Article
- Impact of prevention in primary care on costs in primary and secondary care for people with serious mental illness.Health economics · 2023Article
- Characteristics of Specialty Mental Health Provider Networks in Oregon Medicaid.Psychiatric services (Washington, D.C.) · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
15 authors.
Funding
Abstract
objectiveTo investigate whether continuity of care in family practice reduces unplanned hospital use for people with serious mental illness (SMI). DATA SOURCES: Linked administrative data on family practice and hospital utilization by people with SMI in England, 2007-2014. STUDY
designThis observational cohort study used discrete-time survival analysis to investigate the relationship between continuity of care in family practice and unplanned hospital use: emergency department (ED) presentations, and unplanned admissions for SMI and ambulatory care-sensitive conditions (ACSC). The analysis distinguishes between relational continuity and management/ informational continuity (as captured by care plans) and accounts for unobserved confounding by examining deviation from long-term averages. DATA COLLECTION/EXTRACTION
methodsIndividual-level family practice administrative data linked to hospital administrative data. PRINCIPAL
findingsHigher relational continuity was associated with 8-11 percent lower risk of ED presentation and 23-27 percent lower risk of ACSC admissions. Care plans were associated with 29 percent lower risk of ED presentation, 39 percent lower risk of SMI admissions, and 32 percent lower risk of ACSC admissions.
conclusionsFamily practice continuity of care can reduce unplanned hospital use for physical and mental health of people with SMI.
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Registered trials
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.