tiffanybangles11

DUP, Duration of untreated psychosis; n.a., not available; s.d., standard deviation; IQR, interquartile range.

First contact on the pathway to care

Twenty studies examined the first contact on the pathway to care, with one study presenting data from two different countries (Bhugra et al. 2000), for a total of 21 datasets (Table 2). The tiffany uk contact for the largest proportion of patients was a physician in 13 of 21 studies. Three additional studies found a similar proportion of patients used a physician or emergency services as the first contact, three studies found that the majority (52-66%) used emergency services, and two found that the majority (62-63%) of patients made first contact with a non-physician.

When we examined the findings by region, all of the eight European studies found that a physician was the first contact for the largest proportion of patients. By contrast, none of the five North American studies found that a physician was the first contact for the largest proportion of patients, with two studies finding that the largest proportion of patients used emergency services, and three finding that approximately equal proportions used a physician or emergency tiffany bangle (Table 2). We also examined the findings by availability of universal health insurance and by whether the country uses a gatekeeper system for access to specialist services, but did not observe notable trends for either of these factors.

Referral source on the pathway to care

Twenty-two studies examined the referral source on the pathway to care (tiffany bracelet 3). In contrast to the first contact, the referral source for the largest proportion of patients was emergency services in nine of 22 studies. One additional study found that an approximately equal proportion of patients were referred by emergency services and a physician. A physician was the referral source for the largest proportion of patients in eight studies, and a non-tiffany cufflink in four studies.

When we examined the findings by region, six of the eight European studies found that the physician was the source of referral for the largest proportion of patients. By contrast, six of seven North American studies found that emergency services were the referral source for the largest proportion of patients, with the seventh study finding an equal proportion referred by emergency services and a physician. Four of five Asian studies found that the largest proportion of patients tiffany earring a non-physician as the referral source (Table 3). We again examined the findings by both the availability of universal health insurance and the use of a gatekeeper system in the jurisdiction of interest, but did not observe any notable trends.

Determinants of the pathway to care