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Measuring pathways to care in first-episode psychosis : a systematic review
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Singh, Swaran P. and Grange, Tom (2006) Measuring pathways to care in first-episode psychosis : a systematic review. Schizophrenia Research, Vol.81 (No.1). pp. 75-82. doi:10.1016/j.schres.2005.09.018 ISSN 0920-9964.
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Official URL: http://dx.doi.org/10.1016/j.schres.2005.09.018
Abstract
Background
Adequately understanding and measuring pathways to care is a prerequisite for early detection and effective treatment of first-episode psychosis.
Method
We conducted a systematic review of studies on pathways to care in first-episode psychosis to establish what measures currently exist to assess pathways in first-episode psychosis and to compare these measures.
Results
We identified 15 studies which had used six different measures of pathways to care. Differences in aims, methodology and lack of psychometric data did not allow a direct comparison of pathways measures but certain common themes emerged.
Discussion
Pathways to care in first-episode psychosis are diverse and varied. There is no measure with established psychometric properties that has been devised on a well-developed theoretical or conceptual framework and had its psychometric properties established. The conflict between exploring the patient's narrative and journey through the healthcare system and developing an empirical measure of pathways with optimal outcomes has hindered the development of such a measure.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Subjects: | R Medicine > RC Internal medicine | ||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||
| Library of Congress Subject Headings (LCSH): | Psychoses -- Diagnosis, Psychoses -- Treatment, Mental health planning | ||||
| Journal or Publication Title: | Schizophrenia Research | ||||
| Publisher: | Elsevier BV | ||||
| ISSN: | 0920-9964 | ||||
| Official Date: | 1 January 2006 | ||||
| Dates: |
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| Volume: | Vol.81 | ||||
| Number: | No.1 | ||||
| Page Range: | pp. 75-82 | ||||
| DOI: | 10.1016/j.schres.2005.09.018 | ||||
| Status: | Peer Reviewed | ||||
| Access rights to Published version: | Open Access (Creative Commons) |
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