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The determinants and effect of shared care on patient outcomes and psychiatric admissions - an inner city primary care cohort study.

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Title: The determinants and effect of shared care on patient outcomes and psychiatric admissions - an inner city primary care cohort study.
Authors: Fitzpatrick, Natalie K., Shah, Sunil, Walker, Neil, Nourmand, Shaeda, Tyrer, Peter J., Barnes, Thomas R. E., Higgitt, Anna, Hemingway, Harry
Source: Social Psychiatry & Psychiatric Epidemiology. Feb2004, Vol. 39 Issue 2, p154-163. 10p.
Subjects: Evaluation of medical care, General practitioners, Patient satisfaction, Family medicine, Public health, Mental health
Abstract: Objective: The aim of this study was to determine the factors associated with receipt of different levels of shared care, and the effect of shared care on patient outcomes. Method: A total of 349 patients with severe mental illness were selected from general practice lists. Patient functioning was assessed using standardised questionnaires, and GPs completed a questionnaire about patients' shared care arrangements at baseline (response-rate 79%). Patients were followed up at 12 months. Results: Receipt of high shared care was associated with greater patient satisfaction with services and social functioning at baseline (p < 0.005). Patients receiving high shared care showed greater improvements in SF-12 mental health scores at follow-up compared to low shared care groups (p = 0.02). This effect was abolished after adjustment for age, sex and psychiatric diagnosis. Conclusion: Receipt of high shared care was not associated with demographic or clinical characteristics. High shared care had limited value for patients in terms of improved clinical, social or general health functioning over one year. [ABSTRACT FROM AUTHOR]
Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: &lt;bold&gt;Objective: &lt;/bold&gt;The aim of this study was to determine the factors associated with receipt of different levels of shared care, and the effect of shared care on patient outcomes. &lt;bold&gt;Method: &lt;/bold&gt;A total of 349 patients with severe mental illness were selected from general practice lists. Patient functioning was assessed using standardised questionnaires, and GPs completed a questionnaire about patients&#39; shared care arrangements at baseline (response-rate 79%). Patients were followed up at 12 months. &lt;bold&gt;Results: &lt;/bold&gt;Receipt of high shared care was associated with greater patient satisfaction with services and social functioning at baseline (p &lt; 0.005). Patients receiving high shared care showed greater improvements in SF-12 mental health scores at follow-up compared to low shared care groups (p = 0.02). This effect was abolished after adjustment for age, sex and psychiatric diagnosis. &lt;bold&gt;Conclusion: &lt;/bold&gt;Receipt of high shared care was not associated with demographic or clinical characteristics. High shared care had limited value for patients in terms of improved clinical, social or general health functioning over one year. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Social Psychiatry &amp; Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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              Text: Feb2004
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