ArticleBMC family practice2013
A qualitative study of primary care professionals' views of case finding for depression in patients with diabetes or coronary heart disease in the UK.
Article in BMC family practice, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 47 citations in OpenAlex.
- Comparative Effectiveness of a Technology-Facilitated Depression Care Management Model in Safety-Net Primary Care Patients With Type 2 Diabetes: 6-Month Outcomes of a Large Clinical Trial.Journal of medical Internet research · 2018Trial
- Advanced Nurse Practitioner (ANPs) experiences of the Quality and Outcomes Framework (QOF) Scheme: a UK case study.BMJ open · 2024Article
- Implementation analysis of a case management intervention for people with complex care needs in primary care: a multiple case study across Canada.BMC health services research · 2023Article
- Patient and Provider Views on Psychosocial Screening in a Comprehensive Diabetes Center.Journal of clinical psychology in medical settings · 2023Article
- Increasing Uptake of Depression Screening and Treatment Guidelines in Cardiac Patients: A Behavioral and Implementation Science Approach to Developing a Theory-Informed, Multilevel Implementation Strategy.Circulation. Cardiovascular quality and outcomes · 2022Review
- Nature and Extent of Physical Comorbidities Among Korean Patients With Mental Illnesses: Pairwise and Network Analysis Based on Health Insurance Claims Data.Psychiatry investigation · 2022Article
- A pay for performance scheme in primary care: Meta-synthesis of qualitative studies on the provider experiences of the quality and outcomes framework in the UK.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
- 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
- Case finding and screening clinical utility of the Patient Health Questionnaire (PHQ-9 and PHQ-2) for depression in primary care: a diagnostic meta-analysis of 40 studies.BJPsych open · 2016Review
- Base Rates of Depressive Symptoms in Patients with Coronary Heart Disease: An Individual Symptom Analysis.PloS one · 2016Article
- Depression Awareness and Self-Management Through the Internet: Protocol for an Internationally Standardized Approach.JMIR research protocols · 2015Article
- The Patient Centered Assessment Method (PCAM): integrating the social dimensions of health into primary care.Journal of comorbidity · 2015Article
- Incentivised case finding for depression in patients with chronic heart disease and diabetes in primary care: an ethnographic study.BMJ open · 2014Article
- Physical and mental health comorbidity is common in people with multiple sclerosis: nationally representative cross-sectional population database analysis.BMC neurology · 2014Article
Corrections and comments
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Authors and funding
10 authors at 5 institutions in 2 countries.
Funding
Abstract
backgroundRoutinely conducting case finding (also commonly referred to as screening) in patients with chronic illness for depression in primary care appears to have little impact. We explored the views and experiences of primary care nurses, doctors and managers to understand how the implementation of case finding/screening might impact on its effectiveness.
methodsTwo complementary qualitative focus group studies of primary care professionals including nurses, doctors and managers, in five primary care practices and five Community Health Partnerships, were conducted in Scotland.
resultsWe identified several features of the way case finding/screening was implemented that may lead to systematic under-detection of depression. These included obstacles to incorporating case finding/screening into a clinical review consultation; a perception of replacing individualised care with mechanistic assessment, and a disconnection for nurses between management of physical and mental health. Far from being a standardised process that encouraged detection of depression, participants described case finding/screening as being conducted in a way which biased it towards negative responses, and for nurses, it was an uncomfortable task for which they lacked the necessary skills to provide immediate support to patients at the time of diagnosis.
conclusionThe introduction of case finding/screening for depression into routine chronic illness management is not straightforward. Routinized case finding/screening for depression can be implemented in ways that may be counterproductive to engagement (particularly by nurses), with the mental health needs of patients living with long term conditions. If case finding/screening or engagement with mental health problems is to be promoted, primary care nurses require more training to increase their confidence in raising and dealing with mental health issues and GPs and nurses need to work collectively to develop the relational work required to promote cognitive participation in case finding/screening.
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Registered trials
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