ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2009
Decisions about referrals for psychological therapies: a matched-patient qualitative study.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Managing depression in primary care: A meta-synthesis of qualitative and quantitative research from the UK to identify barriers and facilitators.BMC family practice · 2011Pooled it
- Trial
- Variation in referral and access to new psychological therapy services by age: an empirical quantitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017Article
- Improving access to psychosocial interventions for common mental health problems in the United Kingdom: narrative review and development of a conceptual model for complex interventions.BMC health services research · 2012Review
- Impact of the QOF and the NICE guideline in the diagnosis and management of depression: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2011Article
- Can a self-referral system help improve access to psychological treatments?The British journal of general practice : the journal of the Royal College of General Practitioners · 2010Article
- Why do GPs prescribe psychotropic drugs when they would rather provide alternative psychological interventions?The British journal of general practice : the journal of the Royal College of General Practitioners · 2010Article
- Commentary: GPs' views on their handling of depression.The British journal of general practice : the journal of the Royal College of General Practitioners · 2009Article
- Improving access to psychological therapies: implications for mental health care in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2009Article
- Reasons to be cheerful? Reflections on GPs' responses to depression.The British journal of general practice : the journal of the Royal College of General Practitioners · 2009Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPsychological therapies are effective treatments for common mental health problems, but access is limited. GPs face difficult decisions as to whom to refer, but little is known about this decision-making process.
aimTo explore GPs' accounts of decisions to refer, or not refer, patients for psychological therapy. DESIGN OF STUDY: A qualitative study, using a matched-patient procedure.
settingGeneral practices in two inner London boroughs.
methodIn semi-structured interviews, GPs were asked to compare and contrast five matched-patient pairs, consisting of patients who had been referred for psychological therapy paired with patients not referred. The interviews were analysed using a general thematic analysis.
resultsFourteen GPs discussed 130 matched patients (65 patient pairs). Three main factors distinguished GPs' accounts of the patients they referred compared with the matched patients they did not refer. These factors were: patient initiative in requesting or showing interest in referral; estimated capacity of the patient to benefit from psychological therapy; and the GP's own capacity to help the patient in terms of skills, expertise, and time.
conclusionGPs gave accounts of themselves acting as rational decision makers, judging how effective they thought a referral would be based on a patient's clinical presentation and motivation, compared with the GPs' own ability to help.
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