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. 2009 May;4(4):e133–e150.

TABLE 2.

Use of the gatekeeper system for psychiatric care, by neighbourhood education quintile

First contact
Cohort population by sex and quintile % of quintile with any mental health visit
F (n=746,618) M (n=702,202) F (n=446,129) M (n=330,596)
Q1 147,765 141,885 61.7 47.9
Q2 148,767 142,625 60.2 47.4
Q3 149,099 141,624 59.0 46.2
Q4 150,454 140,278 59.0 46.6
Q5 150,533 135,790 58.9 47.3
Q5:Q1 ratio 0.95 0.99
Within the gatekeeper system Bypassing the gatekeeper system All psychiatric care
% of mental health users with first visit to FP/GP % of FP/GP users referred to psychiatry % of mental health users with first visit to psychiatrist % of mental health users with a psychiatry visit
F (n=420,918) M (n=308,104) F (n=52,267) M (n=36,968) F (n=25,210) M (n=22,491) F (n=77,395) M (n=59,414)
Q1 95.8 95.0 11.8 11.1 4.2 5.0 15.4 15.9
Q2 95.5 94.3 11.9 11.5 4.5 5.7 15.9 16.2
Q3 95.3 94.4 11.8 11.5 4.7 5.6 15.9 16.5
Q4 94.4 93.1 12.4 12.1 5.6 6.9 17.2 18.0
Q5 90.7 89.0 14.3 14.0 9.3 11.0 22.4 23.5
Q5:Q1 0.95 0.94 1.2 1.3 2.2 2.2 1.5 1.5