ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2012
Patient centredness and the outcome of primary care consultations with patients with depression in areas of high and low socioeconomic deprivation.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Socioeconomic Deprivation's Effect on Depression: Family Satisfaction's Moderating Role.Behavioral sciences (Basel, Switzerland) · 2026Article
- Revisiting, reassessing, and reinterpreting 2 big ideas for family medicine: 2025 Dr Ian McWhinney Lecture Series.Canadian family physician Medecin de famille canadien · 2026Article
- Prevalence and Data-Driven Exploration of Pre-Diagnostic Symptoms and Features of Gilbert's Syndrome in the UK Primary Care Population.Clinical epidemiology · 2025Article
- General practitioners' experiences of providing lifestyle advice to patients with depression: A qualitative focus group study.PloS one · 2024Article
- Comparison of patients' perceptions of family physicians' patient-centeredness between virtual and in-person clinical encounters: A cross-sectional study.Journal of family medicine and primary care · 2023Article
- Patient experiences with depression care in general practice: a qualitative questionnaire study.Scandinavian journal of primary health care · 2022Article
- Article
- Potential of a cognitive-behavioural approach to improve patient symptoms in a primary care setting.Canadian family physician Medecin de famille canadien · 2022Article
- What are the underlying reasons behind socioeconomic differences in doctor-patient communication in head and neck oncology review clinics?Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Patients' experiences of seeking help for emotional concerns in primary care: doctor as drug, detective and collaborator.BMC family practice · 2020Article
- Title: The Children's Oncology Planning for Emergencies (COPE) Tool: Prototyping with Caregivers of Children with Cancer.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2020Article
- Symptoms of Major Depressive Disorder and Their Impact on Psychosocial Functioning in the Different Phases of the Disease: Do the Perspectives of Patients and Healthcare Providers Differ?Frontiers in psychiatry · 2020Article
- Review
- Measuring Patients' Perceptions of Health Care Encounters: Examining the Factor Structure of the Revised Patient Perception of Patient-Centeredness (PPPC-R) Questionnaire.Journal of patient-centered research and reviews · 2019Article
- Differences in Perceptions of Major Depressive Disorder Symptoms and Treatment Priorities Between Patients and Health Care Providers Across the Acute, Post-Acute, and Remission Phases of Depression.Frontiers in psychiatry · 2019Article
- Article
- Multimorbidity and Socioeconomic Deprivation in Primary Care Consultations.Annals of family medicine · 2018Article
- Association between perceived stress, multimorbidity and primary care health services: a Danish population-based cohort study.BMJ open · 2018Article
- Transforming Life: A Broad View of the Developmental Origins of Health and Disease Concept from an Ecological Justice Perspective.International journal of environmental research and public health · 2016Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundMost patients with depression are managed in general practice. In deprived areas, depression is more common and poorer outcomes have been reported.
aimTo compare general practice consultations and early outcomes for patients with depression living in areas of high or low socioeconomic deprivation. DESIGN AND
settingSecondary data analysis of a prospective observational study involving 25 GPs and 356 consultations in deprived areas, and 20 GPs and 303 consultations in more affluent areas, with follow-up at 1 month.
methodValidated measures were used to (a) objectively assess the patient centredness of consultations, and (b) record patient perceptions of GP empathy.
resultsPHQ-9 scores >10 (suggestive of caseness for moderate to severe depression) were significantly more common in deprived than in affluent areas (30.1% versus 18.5%, P<0.001). Patients with depression in deprived areas had more multimorbidity (65.4% versus 48.2%, P<0.05). Perceived GP empathy and observer-rated patient-centred communication were significantly lower in consultations in deprived areas. Outcomes at 1 month were significantly worse (persistent caseness 71.4% deprived, 43.2% affluent, P = 0.01). After multilevel multiregression modelling, observer-rated patient centredness in the consultation was predictive of improvement in PHQ-9 score in both affluent and deprived areas.
conclusionIn deprived areas, patients with depression are more common and early outcomes are poorer compared with affluent areas. Patient-centred consulting appears to improve early outcome but may be difficult to achieve in deprived areas because of the inverse care law and the burden of multimorbidity.
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