Table 10Clinical review protocol for the review of service developments

ComponentDescription
Review questionIn adults (18 years and older) at risk of depression or anxiety disorders* (in particular, BME groups and older people), do service developments and interventions that are specifically designed to promote access increase the proportion of people from the target group who access treatment, when compared with standard care?
ObjectivesTo perform a narrative synthesis of the evidence that assesses the effectiveness of service developments specifically designed to promote access
Subquestions
  • Do new service developments targeted at changing the behaviour of the individual or the practitioner improve access to healthcare services?
  • Do service developments targeted at the healthcare system improve access to healthcare services?
  • Do specific treatments or interventions developed for vulnerable groups improve access to healthcare services?
PopulationAdults (18 years and older) identified as at risk of depression or anxiety disorders* (in particular, BME groups and older people)
Intervention(s)
  • Service developments that are specifically designed to promote access
  • Specific models of service delivery (that is, community-based outreach clinics, clinics or services in non-healthcare settings)
Comparison
  • Standard care
Critical outcomes
Secondary outcomes
  • Satisfaction, preference
  • Individual/practitioner communication
Electronic databasesSystematic reviews: CDSR, CINAHL, DARE, EMBASE, MEDLINE, PsycINFO
RCTs: CENTRAL
Date searchedSystematic reviews: 1 January 1995 to 10 September 2010
RCTs: 1 January 2004 to 10 September 2010
Study designSystematic review and RCT

From: 4, ACCESS TO HEALTHCARE

Cover of Common Mental Health Disorders
Common Mental Health Disorders: Identification and Pathways to Care.
NICE Clinical Guidelines, No. 123.
National Collaborating Centre for Mental Health (UK).
Leicester (UK): British Psychological Society; 2011.
Copyright © 2011, The British Psychological Society & The Royal College of Psychiatrists.

All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. Enquiries in this regard should be directed to the British Psychological Society.

PubMed Health. A service of the National Library of Medicine, National Institutes of Health.