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The electronic database search retrieved 1110 studies, of which 45 were deemed relevant for this review. The manual search additionally retrieved 14 studies that were missed in the electronic search, likely due to the lack of frank gehry jewellery standardized search term for pathways to care (Appendix 1). In total, 59 full-text articles were identified, and we excluded 35 of these studies because they did not use an FEP population ( n =18), provide quantitative data on pathways to care ( n =12), and/or use an observational design ( n =9), or because they presented duplicate data that were available in another article ( n =4) (Bhugra et al. 1999; Fuchs & Steinert, 2002; Cougnard et al. 2004 a ; Morgan et al. 2005 a ). An additional six studies were located paloma picasso jewellery regular updates of the literature search.

Thirty studies met the inclusion criteria for our review (Appendix 3). Specifically, 21 studies examined pathways to care generally, and nine explored the sex, socio-economic, and/or ethnic determinants of the pathways (Fig. 1). Additionally, 15 studies examined the impact of the pathway to care on the DUP.

The characteristics of the included studies are summarized in Table 1. Studies were conducted in a variety of countries ( n =16), and one was published in a language return to tiffany jewellery than English (Kohn et al. 2004). The sample sizes varied substantially, ranging from 21 to 462 participants (median across studies=86). The studies generally used a descriptive and cross-sectional design. Given that there is no validated instrument for measuring pathways to care (Singh & Grange, 2006), the data collection methods varied across the studies, which used some combination of patient, family, or clinician interviews and/or tiffany 1837 jewellery records (Table 1).

The studies used different indices of the pathway to care, with eight examining the first contact, 10 examining the referral source, and 12 presenting data on both (Table 1). Additionally, 12 studies assessed the total number of care pathway contacts (Table 1), with the median number of contacts ranging from 1 to 4.5 (median across studies=3). In some circumstances, the first contact on the pathway to care was also the referral source into treatment, but only five studies provided the data in sufficient detail to allow the impact of this to be assessed (Fuchs & Steinert, 2004; Kohn et al. 2004; Chiang et al. 2005; tiffany somerset jewellery et al. 2005; Sharifi et al. 2009). Finally, six studies included family members and 19 included police as potential care pathway contacts (Tables 2 and 3), highlighting differences across studies in the definition of the pathway to care.

Table 2.

Summary of findings from studies examining the first contact on the pathway to care (n=21). Data represent the percentage of patients making contact with a physician, non-physician or emergency services. Shaded cells indicate the type of contact that the largest proportion of patients used in each study, and bolded figures indicate that similar percentages of patients made contact with two of the care pathway contacts