ArticleBMC health services research2021
An explorative study of factors associated with treatment in specialized mental health care centers among GP patients in Norway.
Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03624829 (Shared Care and Usual Health Care for Mental and Comorbid Health Problems. A Cluster Randomized Trial), which is not on this map. Cited by 6 papers.
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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.
Shared Care and Usual Health Care for Mental and Comorbid Health Problems. A Cluster Randomized Trial
Who cites it
6 citing papers in PubMed.
- Effects of collaborative care on recognition and management of common mental disorders by general practitioners: a cluster-randomised trial in Norway.BMC primary care · 2026Trial
- A collaborative primary and mental health care model with psychologist and psychiatrist working in GP practices: process evaluation of the implementation, challenges, and sustainability.BMC health services research · 2025Trial
- Parenthood and mental health throughout the life course: A total population study.Social psychiatry and psychiatric epidemiology · 2026Article
- Trends in First-Time Symptomatic Antidementia Drug Dispensations to Home-Dwelling People in Norway: A Nationwide Register-Based Study.Drugs - real world outcomes · 2026Article
- The effect of general practitioners' sex and age on patients' healthcare utilization: a Norwegian registry study.Research in health services & regions · 2026Article
- GPs' identification of patients with mental distress: a coupled questionnaire and cohort study from norwegian urban general practice.BMC primary care · 2022Observational
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Authors and funding
5 authors.
Funding
Abstract
backgroundEffectiveness and efficiency are part of the quality of care for mental health problems, and treatment should thus be performed at the right level of care. Norwegian guidelines specify which patients should be given priority for treatment in specialized mental health care (SMHC) centers, but there is a lack of agreement on which patients should actually receive SMHC. In this study we wanted to examine what factors (patient and GP characteristics) were related to GP patients who received treatment in SMHC centers.
methodsIn this retrospective cohort study, we looked at 12 months of data from electronic health records from six GP and SMHC centers of hospitals in the catchment area. We included all patients who had been treated at any of the GP centers during the 12-month period (N=18032). We fit a generalized linear mixed model to explore which factors were related to patients receiving treatment in SMHC centers. Further exploration was performed to study the effects of gender and contact frequency.
resultsWe found that 4.6% of all GP patients and 18.4% of the GP patients with a mental health problems were treated in SMHC centers. There were more women than men among the GP-patients (56% vs 44%) and in SMHC centers (55% vs 45%), women with mental health problems were more severely ill than men. However, after adjusting for other factors men were more likely to be treated in SMHC centers (OR: 1.44). Patients with frequent GP contact were more likely to be treated in SMHC centers. The GP characteristics age, gender and specialization did not relate to patients receiving treatment in SMHC centers.
conclusionsMen were more likely to be treated in SMHC centers than women, which may imply that they have different thresholds for entering SMHC centers. GP characteristics were not related to receiving treatment in SMHC centers. More specific knowledge is needed to determine whether men and women currently receive treatment at the lowest possible level of care.
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