Continuity of care for people with psychotic illness: Its relationship to clinical and social functioning
Background: The relationship between continuity of care and user characteristics or outcomes has rarely been explored. The ECHO study operationalized and tested a multi-axial definition of continuity of care, producing a seven-factor model used here. Aims: To assess the relationship between user cha...
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| Veröffentlicht in: | International journal of social psychiatry 2013-02, Vol.59 (1), p.5-17 |
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| container_title | International journal of social psychiatry |
| container_volume | 59 |
| creator | Catty, Jocelyn White, Sarah Clement, Sarah Cowan, Naomi Geyer, Connie Harvey, Kate Jones, Ian Rees McLaren, Susan Poole, Zoe Rose, Diana Wykes, Til Burns, Tom |
| description | Background:
The relationship between continuity of care and user characteristics or outcomes has rarely been explored. The ECHO study operationalized and tested a multi-axial definition of continuity of care, producing a seven-factor model used here.
Aims:
To assess the relationship between user characteristics and established components of continuity of care, and the impact of continuity on clinical and social functioning.
Methods:
The sample comprised 180 community mental health team users with psychotic disorders who were interviewed at three annual time-points, to assess their experiences of continuity of care and clinical and social functioning. Scores on seven continuity factors were tested for association with user-level variables.
Results:
Improvement in quality of life was associated with better Experience & Relationship continuity scores (better user-rated continuity and therapeutic relationship) and with lower Meeting Needs continuity factor scores. Higher Meeting Needs scores were associated with a decrease in symptoms.
Conclusion:
Continuity is a dynamic process, influenced significantly by care structures and organizational change. |
| doi_str_mv | 10.1177/0020764011421440 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1335018093</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_0020764011421440</sage_id><sourcerecordid>1323338319</sourcerecordid><originalsourceid>FETCH-LOGICAL-c473t-9dd5f208f58051f783b79ec8ea491fa61c7d464de026ffea24d4f016242875d3</originalsourceid><addsrcrecordid>eNqNkc9LHTEQx4O01OePuycJ9OJl20x-bLLeykOtIPTifYnZxBfJS9YkS3n_vbs8KyKU9jQzzGe-M8MXoTMg3wCk_E4IJbLlBIBT4JwcoBVIDg1Vgn9Cq6XdLP1DdFTKE5lrIOwLOqTQcSVEt0J-nWL1cfJ1h5PDRmeLXcp4tGkMFv_2dYPHsjObVL3BPoRoS7nEt7XgbIOuPsWy8SOuCZvgozc6YB0HXJLxc-qmaBbGx8cT9NnpUOzpazxG99dX9-ufzd2vm9v1j7vGcMlq0w2DcJQoJxQR4KRiD7KzRlnNO3C6BSMH3vLBEto6ZzXlA3cEWsqpkmJgx-hiLzvm9DzZUvutL8aGoKNNU-mBMUFAkY79B0oZY4pB92-UKkr4fACd0a8f0Kc05Ti_vFCgxAwuu8meMjmVkq3rx-y3Ou96IP3ibf_R23nk_FV4etja4W3gj5kz0OyBoh_tu61_E3wB_VaqLQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1281852043</pqid></control><display><type>article</type><title>Continuity of care for people with psychotic illness: Its relationship to clinical and social functioning</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>MEDLINE</source><source>SAGE Complete</source><creator>Catty, Jocelyn ; White, Sarah ; Clement, Sarah ; Cowan, Naomi ; Geyer, Connie ; Harvey, Kate ; Jones, Ian Rees ; McLaren, Susan ; Poole, Zoe ; Rose, Diana ; Wykes, Til ; Burns, Tom</creator><creatorcontrib>Catty, Jocelyn ; White, Sarah ; Clement, Sarah ; Cowan, Naomi ; Geyer, Connie ; Harvey, Kate ; Jones, Ian Rees ; McLaren, Susan ; Poole, Zoe ; Rose, Diana ; Wykes, Til ; Burns, Tom</creatorcontrib><description>Background:
The relationship between continuity of care and user characteristics or outcomes has rarely been explored. The ECHO study operationalized and tested a multi-axial definition of continuity of care, producing a seven-factor model used here.
Aims:
To assess the relationship between user characteristics and established components of continuity of care, and the impact of continuity on clinical and social functioning.
Methods:
The sample comprised 180 community mental health team users with psychotic disorders who were interviewed at three annual time-points, to assess their experiences of continuity of care and clinical and social functioning. Scores on seven continuity factors were tested for association with user-level variables.
Results:
Improvement in quality of life was associated with better Experience & Relationship continuity scores (better user-rated continuity and therapeutic relationship) and with lower Meeting Needs continuity factor scores. Higher Meeting Needs scores were associated with a decrease in symptoms.
Conclusion:
Continuity is a dynamic process, influenced significantly by care structures and organizational change.</description><identifier>ISSN: 0020-7640</identifier><identifier>EISSN: 1741-2854</identifier><identifier>DOI: 10.1177/0020764011421440</identifier><identifier>PMID: 21948559</identifier><identifier>CODEN: IJSPAG</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Community health care ; Community Health Services ; Community services ; Continuity of Patient Care ; Factor analysis ; Female ; Follow-Up Studies ; Health care ; Hospitalization ; Humans ; Male ; Mental disorders ; Mental health ; Mental health care ; Mental illness ; Mentally ill people ; Middle Aged ; Organizational change ; Organizational structure ; Outcome and Process Assessment, Health Care ; Psychiatric Status Rating Scales ; Psychoses ; Psychotic Disorders - diagnosis ; Psychotic Disorders - psychology ; Psychotic Disorders - rehabilitation ; Quality of care ; Quality of life ; Quality of Life - psychology ; Social Adjustment ; Social functioning ; Symptoms</subject><ispartof>International journal of social psychiatry, 2013-02, Vol.59 (1), p.5-17</ispartof><rights>The Author(s) 2011</rights><rights>Copyright Sage Publications Ltd. Feb 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c473t-9dd5f208f58051f783b79ec8ea491fa61c7d464de026ffea24d4f016242875d3</citedby><cites>FETCH-LOGICAL-c473t-9dd5f208f58051f783b79ec8ea491fa61c7d464de026ffea24d4f016242875d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0020764011421440$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0020764011421440$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,30976,30977,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21948559$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Catty, Jocelyn</creatorcontrib><creatorcontrib>White, Sarah</creatorcontrib><creatorcontrib>Clement, Sarah</creatorcontrib><creatorcontrib>Cowan, Naomi</creatorcontrib><creatorcontrib>Geyer, Connie</creatorcontrib><creatorcontrib>Harvey, Kate</creatorcontrib><creatorcontrib>Jones, Ian Rees</creatorcontrib><creatorcontrib>McLaren, Susan</creatorcontrib><creatorcontrib>Poole, Zoe</creatorcontrib><creatorcontrib>Rose, Diana</creatorcontrib><creatorcontrib>Wykes, Til</creatorcontrib><creatorcontrib>Burns, Tom</creatorcontrib><title>Continuity of care for people with psychotic illness: Its relationship to clinical and social functioning</title><title>International journal of social psychiatry</title><addtitle>Int J Soc Psychiatry</addtitle><description>Background:
The relationship between continuity of care and user characteristics or outcomes has rarely been explored. The ECHO study operationalized and tested a multi-axial definition of continuity of care, producing a seven-factor model used here.
Aims:
To assess the relationship between user characteristics and established components of continuity of care, and the impact of continuity on clinical and social functioning.
Methods:
The sample comprised 180 community mental health team users with psychotic disorders who were interviewed at three annual time-points, to assess their experiences of continuity of care and clinical and social functioning. Scores on seven continuity factors were tested for association with user-level variables.
Results:
Improvement in quality of life was associated with better Experience & Relationship continuity scores (better user-rated continuity and therapeutic relationship) and with lower Meeting Needs continuity factor scores. Higher Meeting Needs scores were associated with a decrease in symptoms.
Conclusion:
Continuity is a dynamic process, influenced significantly by care structures and organizational change.</description><subject>Adult</subject><subject>Community health care</subject><subject>Community Health Services</subject><subject>Community services</subject><subject>Continuity of Patient Care</subject><subject>Factor analysis</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Health care</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Male</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Mental health care</subject><subject>Mental illness</subject><subject>Mentally ill people</subject><subject>Middle Aged</subject><subject>Organizational change</subject><subject>Organizational structure</subject><subject>Outcome and Process Assessment, Health Care</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychoses</subject><subject>Psychotic Disorders - diagnosis</subject><subject>Psychotic Disorders - psychology</subject><subject>Psychotic Disorders - rehabilitation</subject><subject>Quality of care</subject><subject>Quality of life</subject><subject>Quality of Life - psychology</subject><subject>Social Adjustment</subject><subject>Social functioning</subject><subject>Symptoms</subject><issn>0020-7640</issn><issn>1741-2854</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkc9LHTEQx4O01OePuycJ9OJl20x-bLLeykOtIPTifYnZxBfJS9YkS3n_vbs8KyKU9jQzzGe-M8MXoTMg3wCk_E4IJbLlBIBT4JwcoBVIDg1Vgn9Cq6XdLP1DdFTKE5lrIOwLOqTQcSVEt0J-nWL1cfJ1h5PDRmeLXcp4tGkMFv_2dYPHsjObVL3BPoRoS7nEt7XgbIOuPsWy8SOuCZvgozc6YB0HXJLxc-qmaBbGx8cT9NnpUOzpazxG99dX9-ufzd2vm9v1j7vGcMlq0w2DcJQoJxQR4KRiD7KzRlnNO3C6BSMH3vLBEto6ZzXlA3cEWsqpkmJgx-hiLzvm9DzZUvutL8aGoKNNU-mBMUFAkY79B0oZY4pB92-UKkr4fACd0a8f0Kc05Ti_vFCgxAwuu8meMjmVkq3rx-y3Ou96IP3ibf_R23nk_FV4etja4W3gj5kz0OyBoh_tu61_E3wB_VaqLQ</recordid><startdate>201302</startdate><enddate>201302</enddate><creator>Catty, Jocelyn</creator><creator>White, Sarah</creator><creator>Clement, Sarah</creator><creator>Cowan, Naomi</creator><creator>Geyer, Connie</creator><creator>Harvey, Kate</creator><creator>Jones, Ian Rees</creator><creator>McLaren, Susan</creator><creator>Poole, Zoe</creator><creator>Rose, Diana</creator><creator>Wykes, Til</creator><creator>Burns, Tom</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201302</creationdate><title>Continuity of care for people with psychotic illness: Its relationship to clinical and social functioning</title><author>Catty, Jocelyn ; White, Sarah ; Clement, Sarah ; Cowan, Naomi ; Geyer, Connie ; Harvey, Kate ; Jones, Ian Rees ; McLaren, Susan ; Poole, Zoe ; Rose, Diana ; Wykes, Til ; Burns, Tom</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c473t-9dd5f208f58051f783b79ec8ea491fa61c7d464de026ffea24d4f016242875d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Community health care</topic><topic>Community Health Services</topic><topic>Community services</topic><topic>Continuity of Patient Care</topic><topic>Factor analysis</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Health care</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Male</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Mental health care</topic><topic>Mental illness</topic><topic>Mentally ill people</topic><topic>Middle Aged</topic><topic>Organizational change</topic><topic>Organizational structure</topic><topic>Outcome and Process Assessment, Health Care</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychoses</topic><topic>Psychotic Disorders - diagnosis</topic><topic>Psychotic Disorders - psychology</topic><topic>Psychotic Disorders - rehabilitation</topic><topic>Quality of care</topic><topic>Quality of life</topic><topic>Quality of Life - psychology</topic><topic>Social Adjustment</topic><topic>Social functioning</topic><topic>Symptoms</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Catty, Jocelyn</creatorcontrib><creatorcontrib>White, Sarah</creatorcontrib><creatorcontrib>Clement, Sarah</creatorcontrib><creatorcontrib>Cowan, Naomi</creatorcontrib><creatorcontrib>Geyer, Connie</creatorcontrib><creatorcontrib>Harvey, Kate</creatorcontrib><creatorcontrib>Jones, Ian Rees</creatorcontrib><creatorcontrib>McLaren, Susan</creatorcontrib><creatorcontrib>Poole, Zoe</creatorcontrib><creatorcontrib>Rose, Diana</creatorcontrib><creatorcontrib>Wykes, Til</creatorcontrib><creatorcontrib>Burns, Tom</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of social psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Catty, Jocelyn</au><au>White, Sarah</au><au>Clement, Sarah</au><au>Cowan, Naomi</au><au>Geyer, Connie</au><au>Harvey, Kate</au><au>Jones, Ian Rees</au><au>McLaren, Susan</au><au>Poole, Zoe</au><au>Rose, Diana</au><au>Wykes, Til</au><au>Burns, Tom</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Continuity of care for people with psychotic illness: Its relationship to clinical and social functioning</atitle><jtitle>International journal of social psychiatry</jtitle><addtitle>Int J Soc Psychiatry</addtitle><date>2013-02</date><risdate>2013</risdate><volume>59</volume><issue>1</issue><spage>5</spage><epage>17</epage><pages>5-17</pages><issn>0020-7640</issn><eissn>1741-2854</eissn><coden>IJSPAG</coden><abstract>Background:
The relationship between continuity of care and user characteristics or outcomes has rarely been explored. The ECHO study operationalized and tested a multi-axial definition of continuity of care, producing a seven-factor model used here.
Aims:
To assess the relationship between user characteristics and established components of continuity of care, and the impact of continuity on clinical and social functioning.
Methods:
The sample comprised 180 community mental health team users with psychotic disorders who were interviewed at three annual time-points, to assess their experiences of continuity of care and clinical and social functioning. Scores on seven continuity factors were tested for association with user-level variables.
Results:
Improvement in quality of life was associated with better Experience & Relationship continuity scores (better user-rated continuity and therapeutic relationship) and with lower Meeting Needs continuity factor scores. Higher Meeting Needs scores were associated with a decrease in symptoms.
Conclusion:
Continuity is a dynamic process, influenced significantly by care structures and organizational change.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>21948559</pmid><doi>10.1177/0020764011421440</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0020-7640 |
| ispartof | International journal of social psychiatry, 2013-02, Vol.59 (1), p.5-17 |
| issn | 0020-7640 1741-2854 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1335018093 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; SAGE Complete |
| subjects | Adult Community health care Community Health Services Community services Continuity of Patient Care Factor analysis Female Follow-Up Studies Health care Hospitalization Humans Male Mental disorders Mental health Mental health care Mental illness Mentally ill people Middle Aged Organizational change Organizational structure Outcome and Process Assessment, Health Care Psychiatric Status Rating Scales Psychoses Psychotic Disorders - diagnosis Psychotic Disorders - psychology Psychotic Disorders - rehabilitation Quality of care Quality of life Quality of Life - psychology Social Adjustment Social functioning Symptoms |
| title | Continuity of care for people with psychotic illness: Its relationship to clinical and social functioning |
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