Primary care consultation rates among people with and without severe mental illness: A UK cohort study using the Clinical Practice Research Datalink

BMJ Open

Volumn 5, Issue 12, 2015, Pages

  Kontopantelis, Evangelos ^a   Olier, Ivan ^b   Planner, Claire ^a   Reeves, David ^a   Ashcroft, Darren M ^a   Gask, Linda ^a   Doran, Tim ^c   Reilly, Siobhan ^d  

^a UNIVERSITY OF MANCHESTER   (United Kingdom)

^b UNIVERSITY OF MANCHESTER   (United Kingdom)

^c UNIVERSITY OF YORK   (United Kingdom)

^d LANCASTER UNIVERSITY   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; COHORT ANALYSIS; COMORBIDITY; CONSULTATION; CONTROLLED STUDY; FEMALE; GENERAL PRACTICE; HUMAN; MAJOR CLINICAL STUDY; MALE; MENTAL DISEASE; PRIMARY MEDICAL CARE; RETROSPECTIVE STUDY; TIME SERIES ANALYSIS; UNITED KINGDOM; CLINICAL PRACTICE; EPIDEMIOLOGY; LONGITUDINAL STUDY; MENTAL DISORDERS; MIDDLE AGED; PATIENT REFERRAL; PRIMARY HEALTH CARE; SEVERITY OF ILLNESS INDEX; STATISTICS AND NUMERICAL DATA;

ADULT; FEMALE; HUMANS; INTERRUPTED TIME SERIES ANALYSIS; LONGITUDINAL STUDIES; MALE; MENTAL DISORDERS; MIDDLE AGED; PRACTICE PATTERNS, PHYSICIANS'; PRIMARY HEALTH CARE; REFERRAL AND CONSULTATION; RETROSPECTIVE STUDIES; SEVERITY OF ILLNESS INDEX; UNITED KINGDOM;

EID: 84960373455     PISSN: None     EISSN: 20446055     Source Type: Journal    
DOI: 10.1136/bmjopen-2015-008650     Document Type: Article

References (43)

1. Health CfM. No health without mental health: Implementation framework. Health Do, 2012. https://www.gov.uk/government/uploads/system/uploads/attachment-data/file/216870/No-Health-Without-Mental-Health-Implementation-Framework-Reportaccessible-version.pdf
2. Reilly S, Planner C, Hann M, et al. The role of primary care in service provision for people with severe mental illness in the United Kingdom. PLoS ONE 2012;7:e36468.
3. The Schizophrenia Commission. The abandonded illness: A report by the Shizophrenia Commission. Illness RM, 2012. http://www. rethink.org/media/514093/TSC-main-report-14-nov.pdf
4. Naylor C, Bell A. Mental Health and the productivity challenge: Improving quality and value for money. Lodon: The King's Fund, 2010.
5. Rowlands S, Moser K. Consultation rates from the general practice research database. Br J Gen Pract 2002;52:658-60.
6. McNiece R, Majeed A. Socioeconomic differences in general practice consultation rates in patients aged 65 and over: Prospective cohort study. BMJ 1999;319:26-8.
7. The National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. Annual report: England, Northern Ireland, Scotland and Wales Manchester Uo, 2014:157. http://www.bbmh. manchester.ac.uk/cmhr/centreforsuicideprevention/nci/reports/Annualreport2014.pdf
8. RCGP. The GP Consultation in Practice (2.01 The Contextual Statement on). Royal College of General Practitioners, 2014:20. http://www.rcgp.org.uk/gp-training-and-exams/~/media/Files/GPtraining-and-exams/Curriculum-2012/RCGP-Curriculum-2-01-GP-Consultation-In-Practice.ashx
9. Hardy S, Hinks P, Gray R. Screening for cardiovascular risk in patients with severe mental illness in primary care: A comparison with patients with diabetes. J Ment Health 2013;22:42-50.
10. Modi RN, Ledingham D. Cardiovascular health monitoring in patients with psychotic illnesses: A project to investigate and improve performance in primary and secondary care. BMJ Qual Improv Rep 2013;2. http://qir.bmj.com/content/2/1/u632.w640
11. De Hert M, Correll CU, Bobes J, et al. Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care. World Psychiatry 2011; 10:52-77.
12. NASMHPD. Morbidity and Mortality in People with Serious Mental Illness Council. MD, 2006:87. http://www.nasmhpd.org/docs/publications/MDCdocs/Mortality%20and%20Morbidity%20Final% 20Report%208.18.08.pdf
13. Newman SC, Bland RC. Mortality in a cohort of patients with schizophrenia-a record linkage study. Can J Psychiatr 1991;36:239-45.
14. Lester H. The James Mackenzie Lecture 2012: Bothering about Billy. Br J Gen Pract 2013;63:e232-4.
15. Saha S, Chant D, McGrath J. A systematic review of mortality in schizophrenia: Is the differential mortality gap worsening over time? Arch Gen Psychiatry 2007;64:1123-31.
16. Unutzer J, Schoenbaum M, Druss BG, et al. Transforming Mental Health care at the interface with general medicine: Report for the President's Commission. Psychiatr Serv 2006;57:37-47.
17. Hardy S, White J, Deane K, et al. Educating healthcare professionals to act on the physical health needs of people with serious mental illness: A systematic search for evidence. J Psychiatr Ment Health 2011;18:721-7.
18. QResearch. Trends in Consultation Rates in General Practice 1995/1996 to 2008/2009: Analysis of the QResearch database. 2009:24. http://www.hscic.gov.uk/catalogue/PUB01077/tren-cons-rate-geneprac-95-09-95-09-rep.pdf
19. Lang FH, Johnstone EC, Murray GD. Service provision for people with schizophrenia. II. Role of the general practitioner. Br J Psychiatry 1997;171:165-8.
20. Roland M. Linking physicians' pay to the quality of care-a major experiment in the United kingdom. N Engl J Med 2004;351:1448-54.
21. Reilly S, Olier I, Planner C, et al. Inequalities in physical comorbidity: A longitudinal comparative cohort study of people with severe mental illness in the UK. BMJ Open 2015;5:e009010.
22. Kontopantelis E, Springate D, Reeves D, et al. Withdrawing performance indicators: Retrospective analysis of general practice performance under UK Quality and Outcomes Framework. BMJ 2014;348:g330.
23. Communities and Local Government. The English Indices of Deprivation 2010: Technical Report. Government DfCaL, 2011. http://www.communities.gov.uk/documents/statistics/pdf/1870718.pdf
24. Kontopantelis E. A Greedy algorithm for representative sampling: Repsample in Stata. J Stat Softw 2013;55:1-19.
25. Olier I, Springate DA, Ashcroft DM, et al. Modelling conditions and health care processes in Electronic Health Records: An application to Severe Mental Illness with the Clinical Practice Research Datalink. PLOS ONE 2016. In press.
26. Springate DA, Kontopantelis E, Ashcroft DM, et al. ClinicalCodes: An online clinical codes repository to improve the validity and reproducibility of research using electronic medical records. PLoS ONE 2014;9:e99825.
27. NICE. Standards and Indicators. 2015. https://www.nice.org.uk/standards-and-indicators
28. Evans HER, Tsourapas A, Mercer CH, et al. Primary care consultations and costs among HIV-positive individuals in UK primary care 1995-2005: A cohort study. Sex Transm Infect 2009;85:543-9.
29. Wang YY, Hunt K, Nazareth I, et al. Do men consult less than women? An analysis of routinely collected UK general practice data. BMJ Open 2013;3:e003320.
30. Kontopantelis E, Doran T, Springate DA, et al. Regression based quasi-experimental approach when randomisation is not an option: Interrupted time series analysis. BMJ 2015;350:h2750.
31. Linden A. Conducting interrupted time-series analysis for single-and multiple-group comparisons. Stata J 2015;15:480-500.
32. Doran T, Kontopantelis E, Valderas JM, et al. Effect of financial incentives on incentivised and non-incentivised clinical activities: Longitudinal analysis of data from the UK Quality and Outcomes Framework. BMJ 2011;342:d3590.
33. Kontopantelis E, Reeves D, Valderas JM, et al. Recorded quality of primary care for patients with diabetes in England before and after the introduction of a financial incentive scheme: A longitudinal observational study. BMJ Qual Saf 2013;22:53-64.
34. NHS. Using the Commissioning for Quality and Innovation (CQUIN) payment framework. Department of Health, 2008:27. http://webarchive.nationalarchives.gov.uk/20130107105354/http://www.dh. gov.uk/prod-consum-dh/groups/dh-digitalassets/@dh/@en/documents/digitalasset/dh-091435.pdf
35. Kontopantelis E, Buchan I, Reeves D. Relationship between quality of care and choice of clinical computing system: Retrospective analysis of family practice performance under the UK's quality and outcomes framework. BMJ Open 2013;3:e003190.
36. Wahlbeck K, Westman J, Nordentoft M, et al. Outcomes of Nordic mental health systems: Life expectancy of patients with mental disorders. Br J Psychiatry 2011;199:453-8.
37. Leucht S, Burkard T, Henderson J, et al. Physical illness and schizophrenia: A review of the literature. Acta Psychiatr Scand 2007;116:317-33.
38. NICE. Schizophrenia: Core interventions in the treatment and management of schizophrenia in adults in primary and secondary care. National Institure for Health and Care Excellence, 2009:399. http://www.nice.org.uk/guidance/cg82
39. NICE. Bipolar disorder: The management of bipolar disorder in adults, children and adolescents, in primary and secondary care. National Institure for Health and Care Excellence, 2006:58. http://www.nice.org.uk/guidance/cg38
40. Dusheiko M, Gravelle H, Martin S, et al. Quality of disease management and risk of mortality in English primary care practices. Health Serv Res 2015;50:1452-71.
41. Kontopantelis E, Springate DA, Ashworth M, et al. Investigating the relationship between quality of primary care and premature mortality in England: A spatial whole-population study. BMJ 2015;350:h904.
42. Dusheiko M, Doran T, Gravelle H, et al. Does higher quality of diabetes management in family practice reduce unplanned hospital admissions? Health Serv Res 2011;46:27-46.
43. Harrison MJ, Dusheiko M, Sutton M, et al. Effect of a national primary care pay for performance scheme on emergency hospital admissions for ambulatory care sensitive conditions: CoNtrolled longitudinal study. BMJ 2014;349:g6423.