Evidence map›Paper›PMID 41508312›Full record

SynthesisPsychiatric services (Washington, D.C.)2026

Continuity of Care and Patient Outcomes in Populations With Schizophrenia: A Systematic Review.

Michael I Cooper, Abigail F Grimm, Suepriya Adhikari, John E Zeber, Kimberley H Geissler

Abstract readSystematic Review
In one paragraph

Synthesis in Psychiatric services (Washington, D.C.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Michael I CooperTufts University School of Medicine, Boston.
Abigail F GrimmDepartment of Healthcare Delivery and Population Sciences, University of Massachusetts Chan Medical School-Baystate, Springfield.
Suepriya AdhikariDepartment of Population Health Sciences, Duke University School of Medicine, Durham, NC.
John E ZeberDepartment of Health Promotion and Policy, School of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst.
Kimberley H GeisslerDepartment of Healthcare Delivery and Population Sciences, University of Massachusetts Chan Medical School-Baystate, Springfield.

Funding

The Role of Insurance Networks and Organizational Factors in Guideline-Concordant Care for Serious Mental IllnessR34MH123628 · NIMH · UNIVERSITY OF MASSACHUSETTS AMHERST · PI GEISSLER, KIMBERLEY LYNN H · 2021 to 2023
$716k
NIMH NIH HHS R34 MH123628
6 · The paper itself

Abstract

objectivePrevious systematic reviews have assessed associations between care continuity and health outcomes broadly and specifically for individuals with mental illness. However, little is known about this relationship for individuals with schizophrenia, who may experience substantial barriers to care. This study aimed to systematically review and compare estimates of associations between continuity of care (CoC) and outcomes for individuals with schizophrenia.

methodsThe authors searched PubMed and PsycInfo for articles published in English between database initiation and January 8, 2025, by using search terms related to CoC and outcomes for adults with schizophrenia and related psychotic disorders. Inclusion criteria required measurement of associations between a quantitative measure of CoC and an outcome.

resultsTwenty-nine studies were included, over half of which were published after 2013. More than 60% reported a positive association between increased CoC and improved outcomes. Service continuity was the most widely used CoC measure, with 67% (k=8 of 12) of these studies finding an association with improved outcomes. Approximately two-thirds of studies evaluated hospitalizations as an outcome, with 47% (k=9 of 19) of these studies finding an association with improved outcomes.

conclusionsStudies varied widely with regard to CoC measures and outcomes measured. Although many studies found a positive association between increased CoC and improved outcomes, this result was not universal. Differences may have stemmed from measurement issues and differences in associations based on populations, service types, and other key study factors. The findings suggest a potential need for standardized CoC measures that can be monitored in clinical practice.

Indexed as

Continuity of Patient CareHospitalizationMental Health ServicesOutcome Assessment, Health CareSchizophreniaHumansContinuity of CareMental Health Systems/HospitalsOutcome StudiesResearch/Service DeliverySchizophrenia

Identifiers

PMID41508312
PMCPMC12797216

What OpenQuestion holds

Textmetadata
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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.