{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T10:19:11Z","timestamp":1787653151994,"version":"build-2736575974"},"reference-count":47,"publisher":"Royal College of Psychiatrists","license":[{"start":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T00:00:00Z","timestamp":1787616000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych Bull"],"abstract":"<jats:sec id=\"S205646942610268X_as1\">\n                    <jats:title>Aims and method<\/jats:title>\n                    <jats:p>We aimed to compare differences in DIALOG scale patient-reported experience measures and patient-reported outcome measures scores between different patient groups accessing adult mental health services. Pooled anonymised data of 11\u00a0198 DIALOG scores from 5007 unique patients were disaggregated (based on age, gender, ethnicity and socioeconomic deprivation) and analysed. We compared statistical differences between groups in their means scores, and carried out regression analysis converting data to a binomial for satisfaction to control for variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S205646942610268X_as2\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Asian and Black patients had greater levels of satisfaction across several domains compared with White British patients. Women, younger patients and those living in more deprived areas had poorer levels of satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S205646942610268X_as3\">\n                    <jats:title>Clinical implications<\/jats:title>\n                    <jats:p>Disaggregated large routinely collected outcome data can offer useful intelligence on monitoring of health inequity. Overall health inequity assessment needs a nuanced interpretation and triangulation of outcome data with access experience, including coercion and physical health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjb.2026.10268","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T09:28:13Z","timestamp":1787650093000},"page":"1-10","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Do patient-reported outcomes and experiences differ among patient groups accessing community mental health services? Interrogating DIALOG data through the equity lens"],"prefix":"10.1192","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5893-6720","authenticated-orcid":false,"given":"Rahul","family":"Bhattacharya","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01q0vs094","id-type":"ROR","asserted-by":"publisher"}],"name":"East London NHS Foundation Trust"},{"name":"Warwick Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7585-8886","authenticated-orcid":false,"given":"Stuart G.","family":"Spicer","sequence":"additional","affiliation":[{"name":"University of Plymouth"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akshith","family":"Shetty","sequence":"additional","affiliation":[{"name":"North East London NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katelyn","family":"Smalley","sequence":"additional","affiliation":[{"name":"University of Plymouth"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Sharpe","sequence":"additional","affiliation":[{"name":"University of Plymouth"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7411-9467","authenticated-orcid":false,"given":"Richard","family":"Byng","sequence":"additional","affiliation":[{"name":"Plymouth University Peninsula Schools of Medicine and Dentistry"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2026,8,25]]},"reference":[{"key":"S205646942610268X_ref25","volume-title":"DIALOG Scale \u2013 Analytical Framework for Mental Health Service","author":"Bhattacharya","year":"2019"},{"key":"S205646942610268X_ref13","year":"n.d","journal-title":"Healthy People 2030"},{"key":"S205646942610268X_ref18","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-12-113"},{"key":"S205646942610268X_ref45","article-title":"NHS Race and Health Observatory","year":"2025","journal-title":"Patient Experience and Trust in NHS Primary Care"},{"key":"S205646942610268X_ref12","volume-title":"Beyond Health Care: The Role of Social Determinants in Promoting Health and Health Equity","year":"2018"},{"key":"S205646942610268X_ref24","unstructured":"24 Ministry of Housing, Communities & Local Government. English Indices of Deprivation 2019: Postcode Lookup. Ministry of Housing, Communities & Local Government, 2019 (https:\/\/dclgapps.communities.gov.uk\/imd\/iod_index.html [accessed 10 Mar 2025])."},{"key":"S205646942610268X_ref31","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.r486"},{"key":"S205646942610268X_ref46","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2023.01.020"},{"key":"S205646942610268X_ref34","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2015-206074"},{"key":"S205646942610268X_ref22","volume-title":"NHS Mental Health Implementation Plan 2019\/20\u20132023\/24","year":"2019"},{"key":"S205646942610268X_ref39","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-025-02333-7"},{"key":"S205646942610268X_ref47","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2296-11-61"},{"key":"S205646942610268X_ref28","doi-asserted-by":"publisher","DOI":"10.1007\/s11886-014-0476-5"},{"key":"S205646942610268X_ref20","volume-title":"Patient Reported Outcome Measures (PROMs) for People with Severe Mental Illness in Community Mental Health Settings: Implementation Guidence","year":"2023"},{"key":"S205646942610268X_ref6","doi-asserted-by":"publisher","DOI":"10.1136\/bmjoq-2023-002516"},{"key":"S205646942610268X_ref7","doi-asserted-by":"publisher","DOI":"10.35680\/2372-0247.1664"},{"key":"S205646942610268X_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)32093-2"},{"key":"S205646942610268X_ref16","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-019-05542-1"},{"key":"S205646942610268X_ref19","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-020-05840-z"},{"key":"S205646942610268X_ref11","doi-asserted-by":"publisher","DOI":"10.1192\/bjb.2019.20"},{"key":"S205646942610268X_ref26","doi-asserted-by":"publisher","DOI":"10.1136\/bmjresp-2020-000644"},{"key":"S205646942610268X_ref36","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.109.068890"},{"key":"S205646942610268X_ref37","doi-asserted-by":"publisher","DOI":"10.1136\/bmjment-2024-301406"},{"key":"S205646942610268X_ref4","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.111.107615"},{"key":"S205646942610268X_ref27","volume-title":"The Health of People from Ethnic Minority Groups In England","author":"Raleigh","year":"2023"},{"key":"S205646942610268X_ref9","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.2021-1410"},{"key":"S205646942610268X_ref2","year":"2010","journal-title":"Fair Society Healthy Lives Full Report"},{"key":"S205646942610268X_ref29","volume-title":"Ethnic Inequalities in Healthcare: A Rapid Evidence Review","author":"Kapadia","year":"2022"},{"key":"S205646942610268X_ref30","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2024.10.018"},{"key":"S205646942610268X_ref32","unstructured":"32 NHS England Digital. Mental Health Act Statistics, Annual Figures \u2013 2020\u201321. NHS England Digital, 2021 (https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/mental-health-act-statistics-annual-figures\/2020-21-annual-figures [accessed 22 Dec 2025])."},{"key":"S205646942610268X_ref21","volume-title":"The NHS Long Term Plan","year":"2019"},{"key":"S205646942610268X_ref15","first-page":"A31","article-title":"OP61 Understanding social inequalities in child mental health: findings from the UK Millennium Cohort Study","volume":"71","author":"Straatmann","year":"2017","journal-title":"J Epidemiol Community Health"},{"key":"S205646942610268X_ref33","unstructured":"33 Department for Levelling Up, Housing and Communities. Patient Satisfaction with GP Services. Department for Levelling Up, Housing and Communities, 2023 (https:\/\/www.ethnicity-facts-figures.service.gov.uk\/health\/patient-experience\/patient-satisfaction-with-gp-services\/latest\/ [accessed 15 Jul 2026])."},{"key":"S205646942610268X_ref3","volume-title":"Fair Society, Healthy Lives: The Marmot Review: Strategic Review of Health Inequalities in England Post-2010","author":"Marmot","year":"2010"},{"key":"S205646942610268X_ref23","year":"2019","journal-title":"The Community Mental Health Framework for Adults and Older Adults"},{"key":"S205646942610268X_ref35","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2024.11"},{"key":"S205646942610268X_ref10","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0243730"},{"key":"S205646942610268X_ref38","volume-title":"Patient and Carer Race Equality Framework","year":"2023"},{"key":"S205646942610268X_ref8","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2023.41.16_suppl.e22527"},{"key":"S205646942610268X_ref41","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph191811153"},{"key":"S205646942610268X_ref42","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-025-03935-w"},{"key":"S205646942610268X_ref40","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-020-02711-2"},{"key":"S205646942610268X_ref5","doi-asserted-by":"publisher","DOI":"10.1001\/jamahealthforum.2022.0326"},{"key":"S205646942610268X_ref43","first-page":"39","article-title":"Ethnic group differences in patient satisfaction with GP services: findings from the New Zealand Attitudes and Values Study","volume":"136","author":"Lee","year":"2023","journal-title":"N Z Med J Online"},{"key":"S205646942610268X_ref44","doi-asserted-by":"publisher","DOI":"10.3109\/09540261.2014.992303"},{"key":"S205646942610268X_ref1","year":"2024","journal-title":"Black, Asian and Minority Ethnic (BAME) Communities"},{"key":"S205646942610268X_ref17","doi-asserted-by":"publisher","DOI":"10.1192\/bjb.2026.10215"}],"container-title":["BJPsych Bulletin"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S205646942610268X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T09:28:16Z","timestamp":1787650096000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S205646942610268X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,25]]},"references-count":47,"alternative-id":["S205646942610268X"],"URL":"https:\/\/doi.org\/10.1192\/bjb.2026.10268","relation":{},"ISSN":["2056-4694","2056-4708"],"issn-type":[{"value":"2056-4694","type":"print"},{"value":"2056-4708","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,25]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}