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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: 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.The findings also support the need to investigate whether combining broad diagnoses with care pathways is an effective method for mental health clustering, and the need for research to further examine the association between mental health clusters and HSU.

View Article: PubMed Central - PubMed

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

No MeSH data available.


Related in: MedlinePlus

Frequency of HSU prediction by variable category. HSU, health service utilisation; frequencies were obtained by counting some studies various times for one variable category; for interventions, the count concerned the prediction of decreased HSU.
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BMJOPEN2015007575F2: Frequency of HSU prediction by variable category. HSU, health service utilisation; frequencies were obtained by counting some studies various times for one variable category; for interventions, the count concerned the prediction of decreased HSU.

Mentions: In summary, taking into account frequency of prediction and study quality, several predictor variables have good preliminary evidence supporting their ability to predict HSU by adults with mental disorders in the UK. Of these variables (in order of frequency of prediction), 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. FigureĀ 2 illustrates the relative frequencies of predictors of HSU, by category.


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)

Frequency of HSU prediction by variable category. HSU, health service utilisation; frequencies were obtained by counting some studies various times for one variable category; for interventions, the count concerned the prediction of decreased HSU.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

BMJOPEN2015007575F2: Frequency of HSU prediction by variable category. HSU, health service utilisation; frequencies were obtained by counting some studies various times for one variable category; for interventions, the count concerned the prediction of decreased HSU.
Mentions: In summary, taking into account frequency of prediction and study quality, several predictor variables have good preliminary evidence supporting their ability to predict HSU by adults with mental disorders in the UK. Of these variables (in order of frequency of prediction), 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. FigureĀ 2 illustrates the relative frequencies of predictors of HSU, by category.

Bottom Line: 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.The findings also support the need to investigate whether combining broad diagnoses with care pathways is an effective method for mental health clustering, and the need for research to further examine the association between mental health clusters and HSU.

View Article: PubMed Central - PubMed

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

No MeSH data available.


Related in: MedlinePlus