Evidence map›Paper›PMID 41777037›Full record

ArticleThe Australian and New Zealand journal of psychiatry2026

Consumers' experiences with and outcomes from Better Access: Results from a national survey.

Jane Pirkis, Meredith Harris, Vikas Arya, Lisa Brophy, Jan Faller, Long Khanh-Dao Le, Cathrine Mihalopoulos, Matthew J Spittal, Dianne Currier

Abstract read
In one paragraph

Article in The Australian and New Zealand journal of psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Evaluation of Australia's Better Access initiative: An overview.The Australian and New Zealand journal of psychiatry · 2026
    Review
  7. Australia's Better Access initiative: A survey of provider and referrer views.The Australian and New Zealand journal of psychiatry · 2026
    Article
  8. A virtual consultative forum on future reforms to Better Access.The Australian and New Zealand journal of psychiatry · 2026
    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

9 authors.

Jane PirkisCentre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia.ORCID 0000-0002-2538-4472
Meredith HarrisSchool of Public Health, The University of Queensland, Brisbane, QLD, Australia.ORCID 0000-0003-0096-729X
Vikas AryaCentre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia.ORCID 0000-0002-0594-1526
Lisa BrophyCentre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia.ORCID 0000-0001-6460-3490
Jan FallerMonash University Health Economics Group, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.ORCID 0000-0001-7645-2079
Long Khanh-Dao LeMonash University Health Economics Group, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
Cathrine MihalopoulosMonash University Health Economics Group, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.ORCID 0000-0002-7127-9462
Matthew J SpittalCentre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia.ORCID 0000-0002-2841-1536
Dianne CurrierCentre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia.ORCID 0000-0002-6614-271X

Funding

Australian Government Department of Health, Disability and Ageing
6 · The paper itself

Abstract

objectiveWe sought consumers' views about Better Access, which funds sessions of care with eligible providers via the Medicare Benefits Schedule (MBS).

methodsWe surveyed a stratified random sample of consumers who saw a clinical psychologist, psychologist, social worker or occupational therapist (OT) via Better Access during 2021. The survey focussed on consumers' experiences with receiving treatment through Better Access, and the outcomes of this treatment. Survey data were linked to MBS claims data for consenting participants.

resultsIn total, 2013 individuals completed the survey; linked MBS data were available for 1317 (65.4%). The majority (85.2%) were satisfied with their care, although they raised some issues, particularly around affordability. When asked to rate their mental health before and after treatment, 91.9% indicated it had significantly improved. Overall, 77.5% attributed this improvement to treatment by the mental health professional. For the full sample, baseline self-rated mental health was predictive of improvement, as was the number of sessions. For the sub-sample with linked data, these factors also predicted improvement, as did whether they paid a co-payment.

conclusionIn general, consumers who use Better Access appear to appreciate the programme and benefit from the care it provides. However, affordability remains an issue.

Indexed as

Health Services AccessibilityMental DisordersMental Health ServicesPatient SatisfactionAdultAgedAustraliaFemaleHumansMaleMiddle AgedNational Health ProgramsUnited StatesBetter AccessMedicaremental health servicesPsychological therapy

Identifiers

PMID41777037
PMCPMC12960780

What OpenQuestion holds

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LicenceCC BY-NC
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.