ArticleRehabilitation nursing : the official journal of the Association of Rehabilitation Nurses
Conditions that influence a primary care clinician's decision to refer patients for depression care.
Article in Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 54 citations in OpenAlex.
- Fuzzy-set qualitative comparative analysis of implementation outcomes in an integrated mental healthcare trial in South Africa.Global health action · 2021Trial
- Barriers and facilitators of access and utilization of mental health services among forensic service users along the care pathway.BMC health services research · 2022Article
- Depression in primary care and the role of evidence-based guidelines: cross-sectional data from primary care physicians in Germany.BMC health services research · 2022Article
- Article
- Pushing the bench: A mixed methods study of barriers to and facilitators of identification and referral into depression care by professional nurses in KwaZulu-Natal, South Africa.SSM. Mental health · 2021Article
- Article
- Perceived need for treatment and non-utilization of outpatient psychotherapy in old age: two cohorts of a nationwide survey.BMC health services research · 2021Article
- Article
- Patient-level predictors of detection of depressive symptoms, referral, and uptake of depression counseling among chronic care patients in KwaZulu-Natal, South Africa.Global mental health (Cambridge, England) · 2020Article
- Qualitative investigation of relatives' and service users' experience of mental healthcare for suicidal behaviour in bipolar disorder.BMJ open · 2019Article
- Feasibility of referral to a therapist for assessment of psychiatric problems in primary care - an interview study.BMC family practice · 2019Article
- Mobile App Use by Primary Care Patients to Manage Their Depressive Symptoms: Qualitative Study.Journal of medical Internet research · 2018Article
- Categorical and dimensional perspectives on depression in elderly primary care patients - Results of the AgeMooDe study.International journal of methods in psychiatric research · 2018Article
- Mental health knowledge, attitudes, and self-efficacy among primary care physicians working in the Greater Tunis area of Tunisia.International journal of mental health systems · 2018Article
- How do general practitioners contribute to preventing long-term work disability of their patients suffering from depressive disorders? A qualitative study.BMC family practice · 2016Article
- Collaborating in the context of co-location: a grounded theory study.BMC family practice · 2016Article
- Primary care professional's perspectives on treatment decision making for depression with African Americans and Latinos in primary care practice.Journal of immigrant and minority health · 2014Article
- Predictors of primary care management of depression in the Veterans Affairs healthcare system.Journal of general internal medicine · 2014Article
- Primary care providers' initial treatment decisions and antidepressant prescribing for adolescent depression.Journal of developmental and behavioral pediatrics : JDBP · 2014Article
- Access granted! barriers endure: determinants of difficulties accessing specialist care when required in Ontario, Canada.BMC health services research · 2013Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
The objective of this study was to identify conditions that influence primary care clinicians' referral decisions related to depression care. Forty primary care clinicians (15 general internists, 10 nurse practitioners, and 15 family practice physicians) were included in this study. The clinicians participated in semistructured interviews and completed two quantitative instruments (with 33 items on depression treatment decision making and 32 items on provider attitudes toward psychosocial care). Data analysis revealed that several conditions influence a clinician's decision to refer a depressed patient to a mental health specialist: the patient's resources, the clinician's comfort in prescribing antidepressants and counseling patients with depression, and familiarity with a mental health specialist and practice environment. The decision to refer a patient with depression to a mental health specialist is a complex process involving the clinician, patient, and practice-related issues. Understanding these relationships may provide strategies to improve depression care management and lead to the design of depression care quality-improvement interventions that accommodate primary care practice context. The findings from this study suggest a need to increase mental health training opportunities for primary care clinicians to strengthen their skills and comfort level in managing depressed patients and encourage the development of relationships between primary care clinicians and mental health specialists to facilitate timely and accessible mental health care for patients.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.