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A systematic review of the predictors of health service utilisation by adults with mental disorders in the UK.

Twomey CD, Baldwin DS, Hopfe M, Cieza A - BMJ Open (2015)

Bottom Line: Of these variables, comorbidity, personality disorder, age (heterogeneous age ranges), neurotic symptoms, female gender, a marital status of divorced, separated or widowed, non-white ethnicity, high previous HSU and activities of daily living, were associated with increased HSU.Moreover, good preliminary evidence was found for associations of accessing a primary care psychological treatment service and medication use with decreased HSU.The findings can inform decisions about which variables might be used to derive mental health clusters in 'payment by results' systems in the UK.

View Article: PubMed Central - PubMed

Affiliation: Faculty of Social and Human Sciences, University of Southampton, Southampton, UK.

No MeSH data available.


Related in: MedlinePlus

Literature search flow.
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BMJOPEN2015007575F1: Literature search flow.

Mentions: The literature search flow is displayed in figure 1. In total, 1364 records were identified. Database-searching yielded 1347 records and manually searching yielded 17 additional records. After duplicates were removed, 928 studies were screened at ‘abstract’ level. For screening of abstracts, there was a 94.1% agreement rate between the first author and the third author. After abstract screening, 133 studies were assessed for eligibility at ‘full-text’ level. Twenty-eight studies were included in the final review.


A systematic review of the predictors of health service utilisation by adults with mental disorders in the UK.

Twomey CD, Baldwin DS, Hopfe M, Cieza A - BMJ Open (2015)

Literature search flow.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4499684&req=5

BMJOPEN2015007575F1: Literature search flow.
Mentions: The literature search flow is displayed in figure 1. In total, 1364 records were identified. Database-searching yielded 1347 records and manually searching yielded 17 additional records. After duplicates were removed, 928 studies were screened at ‘abstract’ level. For screening of abstracts, there was a 94.1% agreement rate between the first author and the third author. After abstract screening, 133 studies were assessed for eligibility at ‘full-text’ level. Twenty-eight studies were included in the final review.

Bottom Line: Of these variables, comorbidity, personality disorder, age (heterogeneous age ranges), neurotic symptoms, female gender, a marital status of divorced, separated or widowed, non-white ethnicity, high previous HSU and activities of daily living, were associated with increased HSU.Moreover, good preliminary evidence was found for associations of accessing a primary care psychological treatment service and medication use with decreased HSU.The findings can inform decisions about which variables might be used to derive mental health clusters in 'payment by results' systems in the UK.

View Article: PubMed Central - PubMed

Affiliation: Faculty of Social and Human Sciences, University of Southampton, Southampton, UK.

No MeSH data available.


Related in: MedlinePlus