FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3105386157> ?p ?o ?g. }

• W3105386157 abstract "ABSTRACT Objectives (1) To estimate clinician sensitivity/bias in rating the HoNOS. (2) To test if high or low clinician sensitivity determines slower resolution of patients’ problems or earlier inpatient admission. Design The primary analysis used many-facet Item Response Theory to construct a multi-level Graded Response Model that teased apart clinician sensitivity/bias from the severity of patients’ problems in routine HoNOS records. Secondary analyses then tested if patients’ outcomes depend on their clinicians’ sensitivity/bias. Outcome measures The outcome measures were (1) overall differences in sensitivity/bias between (a) individual clinicians and (b) different Community Mental Health Teams (CMHTs); (2) clinical outcomes, comprising (a) the rate of resolution of patients’ problems and (b) the dependence of the time to inpatient admission on clinician sensitivity/bias. Setting All archival electronic HoNOS records for all new referrals to all CMHTs providing mental health services in secondary care in a New Zealand District Health Board during 2007-2015. Participants The initial sample comprised 2170 adults of working age who received 5459 HoNOS assessments from 186 clinicians. From these initial data, I derived an opportunistic, connected, bipartite, longitudinal network, in which (i) every patient received HoNOS ratings from 2 or more clinicians and (ii) every clinician assessed more than 5 patients. The bipartite network comprised 88 clinicians and 778 patients; 112 patients underwent later inpatient admission. Results Sensitivity/bias differed importantly between individual clinicians and CMHTs. Patients whose clinicians had more extreme sensitivity/bias showed slower resolution of their problems and earlier inpatient admission. Conclusions Raw HoNOS ratings reflect the sensitivity/bias of clinicians almost as much as the severity of patients’ problems. Additionally, low or high clinician sensitivity can adversely affect patients’ outcomes. Hence, the HoNOS’s main value may be to measure clinician sensitivity. Accounting for clinician sensitivity could enable the HoNOS to fulfil its goal of improving mental health services. Strengths and limitations of the study The study derived a connected network of clinicians and patients that approximates a rational design for estimating clinicians’ sensitivity/bias. The opportunistic network sample was atypical, with chronic patients and experienced clinicians – so the study may under -estimate clinician bias. The study’s statistical methods were appropriate to the ordinal nature of HoNOS ratings. The study used earlier estimates of clinician sensitivity/bias to predict later outcomes – so that effects of clinician sensitivity/bias on outcomes may be causal The study assumed that all HoNOS items tap a single dimension of the severity of patients’ problems." @default.
• W3105386157 created "2020-11-23" @default.
• W3105386157 creator A5034918898 @default.
• W3105386157 date "2020-11-20" @default.
• W3105386157 modified "2023-10-18" @default.
• W3105386157 title "Clinicians’ ratings of the Health of the Nation Outcome Scales (HoNOS) show sensitivity/bias that may affect patients’ progress: analyses of routine administrative data" @default.
• W3105386157 cites W1536086996 @default.
• W3105386157 cites W1599557396 @default.
• W3105386157 cites W1751360006 @default.
• W3105386157 cites W1970673569 @default.
• W3105386157 cites W1983159214 @default.
• W3105386157 cites W2013392366 @default.
• W3105386157 cites W2022904037 @default.
• W3105386157 cites W2026613520 @default.
• W3105386157 cites W2031375945 @default.
• W3105386157 cites W2045246746 @default.
• W3105386157 cites W2069758364 @default.
• W3105386157 cites W2072420498 @default.
• W3105386157 cites W2088755707 @default.
• W3105386157 cites W2096630167 @default.
• W3105386157 cites W2101430662 @default.
• W3105386157 cites W2115601114 @default.
• W3105386157 cites W2131981140 @default.
• W3105386157 cites W2176797982 @default.
• W3105386157 cites W2234118014 @default.
• W3105386157 cites W2316060893 @default.
• W3105386157 cites W2343742313 @default.
• W3105386157 cites W2344109535 @default.
• W3105386157 cites W2345843266 @default.
• W3105386157 cites W2468428881 @default.
• W3105386157 cites W2478068888 @default.
• W3105386157 cites W2519788938 @default.
• W3105386157 cites W2549607273 @default.
• W3105386157 cites W2558349452 @default.
• W3105386157 cites W2559050757 @default.
• W3105386157 cites W2733918393 @default.
• W3105386157 cites W2734619983 @default.
• W3105386157 cites W2745382262 @default.
• W3105386157 cites W2749069611 @default.
• W3105386157 cites W2781951231 @default.
• W3105386157 cites W2790381016 @default.
• W3105386157 cites W2801332848 @default.
• W3105386157 cites W2841464444 @default.
• W3105386157 cites W2884093591 @default.
• W3105386157 cites W2896178860 @default.
• W3105386157 cites W2927504710 @default.
• W3105386157 cites W2955732501 @default.
• W3105386157 cites W2972144745 @default.
• W3105386157 cites W2973668967 @default.
• W3105386157 cites W2978518154 @default.
• W3105386157 cites W3021472140 @default.
• W3105386157 cites W3044637992 @default.
• W3105386157 cites W4230291469 @default.
• W3105386157 cites W4240791259 @default.
• W3105386157 cites W4248374410 @default.
• W3105386157 cites W870939299 @default.
• W3105386157 cites W946614547 @default.
• W3105386157 doi "https://doi.org/10.1101/2020.11.19.20234674" @default.
• W3105386157 hasPublicationYear "2020" @default.
• W3105386157 type Work @default.
• W3105386157 sameAs 3105386157 @default.
• W3105386157 citedByCount "0" @default.
• W3105386157 crossrefType "posted-content" @default.
• W3105386157 hasAuthorship W3105386157A5034918898 @default.
• W3105386157 hasBestOaLocation W31053861571 @default.
• W3105386157 hasConcept C118552586 @default.
• W3105386157 hasConcept C134362201 @default.
• W3105386157 hasConcept C15744967 @default.
• W3105386157 hasConcept C194828623 @default.
• W3105386157 hasConcept C2776035688 @default.
• W3105386157 hasConcept C46312422 @default.
• W3105386157 hasConcept C71924100 @default.
• W3105386157 hasConceptScore W3105386157C118552586 @default.
• W3105386157 hasConceptScore W3105386157C134362201 @default.
• W3105386157 hasConceptScore W3105386157C15744967 @default.
• W3105386157 hasConceptScore W3105386157C194828623 @default.
• W3105386157 hasConceptScore W3105386157C2776035688 @default.
• W3105386157 hasConceptScore W3105386157C46312422 @default.
• W3105386157 hasConceptScore W3105386157C71924100 @default.
• W3105386157 hasLocation W31053861571 @default.
• W3105386157 hasOpenAccess W3105386157 @default.
• W3105386157 hasPrimaryLocation W31053861571 @default.
• W3105386157 hasRelatedWork W11723498 @default.
• W3105386157 hasRelatedWork W11792652 @default.
• W3105386157 hasRelatedWork W16275122 @default.
• W3105386157 hasRelatedWork W20656362 @default.
• W3105386157 hasRelatedWork W5490913 @default.
• W3105386157 hasRelatedWork W6733905 @default.
• W3105386157 hasRelatedWork W711615 @default.
• W3105386157 hasRelatedWork W9013599 @default.
• W3105386157 hasRelatedWork W9672932 @default.
• W3105386157 hasRelatedWork W11410721 @default.
• W3105386157 isParatext "false" @default.
• W3105386157 isRetracted "false" @default.
• W3105386157 magId "3105386157" @default.
• W3105386157 workType "article" @default.