ArticleJournal of general internal medicine2012
Primary care physician perceptions on caring for complex patients with medical and mental illness.
Article in Journal of general internal medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 2 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
63 citing papers in PubMed, 2 syntheses or guidelines pooled it, 118 citations in OpenAlex.
- Decision-making and related outcomes of patients with complex care needs in primary care settings: a systematic literature review with a case-based qualitative synthesis.BMC primary care · 2022Pooled it
- Understanding GPs' clinical reasoning processes involved in managing patients suffering from multimorbidity: A systematic review of qualitative and quantitative research.International journal of clinical practice · 2021Pooled it
- Addressing depression and comorbid health conditions through solution-focused brief therapy in an integrated care setting: a randomized clinical trial.BMC primary care · 2024Trial
- Pragmatic Clinical Trial of Population Health, Portal-Based Depression Screening: the PORTAL-Depression Study.Journal of general internal medicine · 2023Trial
- Collaborative care for mental health: a qualitative study of the experiences of patients and health professionals.BMC health services research · 2020Trial
- Profiles of Quality of Outpatient Care Received Among Adolescents and Young Adults with Health Mental Disorders.The Psychiatric quarterly · 2026Article
- "He said he could take his own advice": Stigmatizing language in notes documenting discharges against medical advice.Journal of hospital medicine · 2026Article
- Profiles of care trajectories among patients with substance-related disorders, assessed over nine years considering other patient characteristics and subsequent adverse outcomes.Substance abuse treatment, prevention, and policy · 2026Article
- Usability and potential impact of a web-based literacy-oriented intervention for community-dwelling patients with complex care needs: a mixed methods case report.Journal of the Medical Library Association : JMLA · 2026Article
- Changes in trends of visits and service utilization by mental health patients in the community: a twelve-year study in Israel.Israel journal of health policy research · 2025Observational
- Scaling out a Digital-First Behavioral Health Care Model to Primary Care.Administration and policy in mental health · 2025Article
- 'No man's land': the journey of young adults with complex care needs, from paediatric to adult healthcare.Internal medicine journal · 2025Article
- Primary Care Provider Perspectives on Depression Management in Older Adults With Multimorbidity.International journal of geriatric psychiatry · 2025Article
- Profiles of physician follow-up care, correlates and outcomes among patients affected by an incident mental disorder.BMC primary care · 2025Observational
- Primary mental health care for adults with mild intellectual disabilities: a focus group study of care professionals' perspectives.BJGP open · 2024Article
- Primary mental healthcare for adults with mild intellectual disabilities: Patients' perspectives.The European journal of general practice · 2024Article
- Shared decision-making with patients with complex care needs: a scoping review.BMC primary care · 2024Article
- Screening instruments for mental disorders in primary healthcare: a scoping review protocol (SCREENING-MD).BMJ open · 2024Article
- Emergency Department Use among Patients with Mental Health Problems: Profiles, Correlates, and Outcomes.International journal of environmental research and public health · 2024Article
- Patient experiences with a primary care medical home tailored for people with serious mental illness.Families, systems & health : the journal of collaborative family healthcare · 2024Article
3 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundMental illness is common and associated with poor outcomes for co-occurring medical illness. Since primary care physicians manage the treatment of complex patients with both mental and medical illnesses, their perspectives on the care of these patients is vital to improving clinical outcomes.
objectiveTo examine physician perceptions of patient, physician and system factors that affect the care of complex patients with mental and medical illness.
designInductive, participatory, team-based qualitative analysis of transcripts of in-depth semi-structured interviews.
participantsFifteen internal medicine physicians from two university primary care clinics and three community health clinics.
resultsParticipant characteristics were balanced in terms of years in practice, practice site, and gender. Physicians identified contributing factors to the complexity of patient care within the domains of patient, physician and system factors. Physicians identified 1) type of mental illness, 2) acuity of mental illness, and 3) communication styles of individual patients as the principal patient characteristics that affected care. Physicians expressed concern regarding their own lack of medical knowledge, clinical experience, and communication skills in treating mental illness. Further, they discussed tensions between professionalism and emotional responses to patients. Participants expressed great frustration with the healthcare system centered on: 1) lack of mental health resources, 2) fragmentation of care, 3) clinic procedures, and 4) the national healthcare system.
conclusionsPhysicians in this study made a compelling case for increased training in the treatment of mental illness and improvements in the delivery of mental health care. Participants expressed a strong desire for increased integration of care through collaboration between primary care providers and mental health specialists. This approach could improve both comfort in treating mental illness and the delivery of care for complex patients.
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.