Evidence map›Paper›PMID 33772320›Full record

ArticleEuropean archives of psychiatry and clinical neuroscience2022

Universal healthcare coverage for first episode of schizophrenia-spectrum disorders in Chile: analysis of the administrative database.

Verónica Larach, Luis F Varela, Guillermo Vergara, Irma Rojas, Viviana Hernández, Rodrigo Casanueva, Matías Irarrázaval

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In one paragraph

Article in European archives of psychiatry and clinical neuroscience, 2022. 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
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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.

Verónica LarachDepartamento de Psiquiatría, Facultad de Medicina, Escuela de Medicina, Universidad Andres Bello (UNAB), Republica 440, Oficina 4, Santiago, Chile. vlarach@unab.cl.ORCID http://orcid.org/0000-0001-7455-7176
Luis F VarelaDepartamento de Psiquiatría, Facultad de Medicina, Escuela de Medicina, Universidad Andres Bello (UNAB), Republica 440, Oficina 4, Santiago, Chile.
Guillermo VergaraDepartamento de Psiquiatría, Facultad de Medicina, Escuela de Medicina, Universidad Andres Bello (UNAB), Republica 440, Oficina 4, Santiago, Chile.
Irma RojasEscuela de Enfermería, Universidad de Santiago (USACH), Santiago, Chile.
Viviana HernándezDepartamento de Salud Mental, Ministerio de Salud (MINSAL), Santiago, Chile.
Rodrigo CasanuevaDivisión de Gestión de Redes Asistenciales (DIGERA), Unidad de Salud Mental, Ministerio de Salud (MINSAL), Santiago, Chile.
Matías IrarrázavalDepartamento de Salud Mental, Ministerio de Salud (MINSAL), Santiago, Chile.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim of the study was to analyse the Ministry of Health's (MINSAL) administrative database of the Universal Health Coverage (UHC) program for First Episode of Schizophrenia Spectrum Disorders (FEP-SSD). The database included every case registered in the program between 2004 and 2017. According to the timeframes established for permanence in the program, cases were defined as Suspected, FEP in diagnostic observation and FEP-SSD. Only first registers were analysed. We compared gender, age at entry, level of care and region where the case was registered. Denominator data for estimation of incidence rates were obtained from the last census. We adjusted incidence rate ratios by age, gender, and region. During the studied period, 33.207 suspected cases were registered. 27.006 (81%) were confirmed as FEP and after 6-month follow-up, 22.701 (68%) were confirmed as FEP-SSD. The median age at entry was 24 years, males entering at younger age. Male proportion was higher than female in all groups. 46.9% of all cases were detected in primary care. FEP-SSD cases were six years younger and had a higher proportion of males than discarded cases (62.6 vs 53.2%). During 169.4 million person-years at risk, crude incidence for suspected cases was 19.58 per 100.000 person-years; for FEP, 15.92 per 100.000 person-years and for FEP-SSD, 13.38 per 100.000 person-years. Chile has lower incidence of FEP-SSD compared to current world estimations but gender proportions are comparable. This UHC program has allowed early access through the integration of mental health to the health network at all levels of care.

Indexed as

SchizophreniaUniversal Health InsuranceChileDatabases, FactualFemaleHumansMaleYoung AdultEpidemiologyFirst episodePsychosisSchizophreniaUniversal health coverage

Identifiers

What OpenQuestion holds

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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.