ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2011
Questionnaire severity measures for depression: a threat to the doctor-patient relationship?
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Pooled it
- Routine provision of feedback from patient-reported outcome measurements to healthcare providers and patients in clinical practice.The Cochrane database of systematic reviews · 2021Pooled it
- Assessing depression severity using the UK Quality and Outcomes Framework depression indicators: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2013Pooled it
- Case identification of depression in patients with chronic physical health problems: a diagnostic accuracy meta-analysis of 113 studies.The British journal of general practice : the journal of the Royal College of General Practitioners · 2011Pooled it
- Patient-reported outcome measures for monitoring primary care patients with depression: the PROMDEP cluster RCT and economic evaluation.Health technology assessment (Winchester, England) · 2024Trial
- Patient-reported outcome measures for monitoring primary care patients with depression: PROMDEP feasibility randomised trial.BMJ open · 2017Trial
- How can Saudi Arabia reform its public hospital payment models? A narrative review.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2020Review
- General practitioners' views on use of patient reported outcome measures in primary care: a cross-sectional survey and qualitative study.BMC family practice · 2020Article
- Feasibility of referral to a therapist for assessment of psychiatric problems in primary care - an interview study.BMC family practice · 2019Article
- How do patient reported outcome measures (PROMs) support clinician-patient communication and patient care? A realist synthesis.Journal of patient-reported outcomes · 2018Review
- Patient-Reported Measures for Person-Centered Coordinated Care: A Comparative Domain Map and Web-Based Compendium for Supporting Policy Development and Implementation.Journal of medical Internet research · 2018Article
- The Mini-International Neuropsychiatric Interview is useful and well accepted as part of the clinical assessment for depression and anxiety in primary care: a mixed-methods study.BMC family practice · 2018Article
- Article
- Spine Tango registry data collection in a conservative spinal service: a feasibility study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2016Article
- Framework to assess the effects of using patient-reported outcome measures in chronic care management.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2014Article
- Factors affecting the physician-patient relationship of older veterans with inadequate health literacy: an observational study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2013Observational
- A qualitative study of primary care professionals' views of case finding for depression in patients with diabetes or coronary heart disease in the UK.BMC family practice · 2013Article
- Article
- Improving the reporting and interpretation of clinical trial outcomes.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012Article
- A question of quality? A single questionnaire for measuring asthma control, structuring asthma reviews, and monitoring health service standards.Primary care respiratory journal : journal of the General Practice Airways Group · 2012Article
Corrections and comments
- Commented on by
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSince 2006 the Quality Outcomes Framework (QOF) has rewarded GPs for carrying out standardised assessments of the severity of symptoms of depression in newly diagnosed patients.
aimTo gain understanding of GPs' opinions and perceived impact on practice of the routine introduction of standardised questionnaire measures of severity of depression through the UK general practice contract QOF. DESIGN OF STUDY: Semi-structured qualitative interview study, with purposive sampling and constant comparative analysis.
settingThirty-four GPs from among 38 study general practices in three sites in England, UK: Southampton, Liverpool, and Norfolk.
methodGPs were interviewed at a time convenient to them by trained interviewers. Interviews were audiorecorded and transcribed verbatim in preparation for thematic analysis, to identify key views.
resultsAnalysis of the interviews suggested that the use of severity questionnaires posed an intrusion into the consultation. GPs discursively polarised two technologies: formal assessment versus personal enquiry, emphasising the need to ensure the scores are used sensitively and as an aid to clinical judgement rather than as a substitute. Importantly, these challenges implicitly served a function of preserving GPs' identities as professionals with expertise, constructed as integral to the process of diagnosis.
conclusionGP accounts indicated concern about threats to patient care. Contention between using severity questionnaires and delivering individualised patient care is significantly motivated by GP concerns to preserve professional expertise and identity. It is important to learn from GP concerns to help establish how best to optimise the use of severity questionnaires in depression.
Indexed as
Identifiers
What OpenQuestion holds
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.