ArticleJournal of general internal medicine2020
The Impact of Systematic Depression Screening in Primary Care on Depression Identification and Treatment in a Large Health Care System: A Cohort Study.
Article in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 32 citations in OpenAlex.
- Pragmatic Clinical Trial of Population Health, Portal-Based Depression Screening: the PORTAL-Depression Study.Journal of general internal medicine · 2023Trial
- Integration of Behavioral Health by Community Health Workers Into a Lifestyle Intervention That Addresses Reduction of Risk for Cardiovascular Disease in Rural Communities.Preventing chronic disease · 2026Article
- Evaluating the Acceptability of Virtual Preventive Genetic Counseling Supporting Adult Primary Care Practices.Journal of general internal medicine · 2026Article
- Unmet need for depression treatment before and after the affordable care act.Social psychiatry and psychiatric epidemiology · 2026Article
- Differential risk profiles for geriatric depression, anxiety, and sleep disturbances in rural China: insights from the Taierzhuang cohort.Frontiers in public health · 2026Article
- Perinatal Identification, Referral, and Integrated Management for Improving Depression: Development, Feasibility and Pilot Randomised Controlled Trial of the PIRIMID System.Healthcare (Basel, Switzerland) · 2025Article
- Evaluation of an AI-Based Voice Biomarker Tool to Detect Signals Consistent With Moderate to Severe Depression.Annals of family medicine · 2025Article
- Global, regional, and national time trends in incidence for depressive disorders, from 1990 to 2019: an age-period-cohort analysis for the GBD 2019.Annals of general psychiatry · 2024Article
- Asynchronous Versus Synchronous Screening for Depression and Suicidality in a Primary Health Care System: Quality Improvement Study.JMIR mental health · 2024Article
- Effectiveness of health checkup with depression screening on depression treatment and outcomes in middle-aged and older adults: a target trial emulation study.The Lancet regional health. Western Pacific · 2024Article
- Association between sociodemographic factors, clinic characteristics and mental health screening rates in primary care.PloS one · 2024Article
- Elements of Integrated Behavioral Health Associated with Primary Care Provider Confidence in Managing Depression at Community Health Centers.Journal of general internal medicine · 2022Article
- Equitability of Depression Screening After Implementation of General Adult Screening in Primary Care.JAMA network open · 2022Article
- A pilot study of participatory and rapid implementation approaches to increase depression screening in primary care.BMC family practice · 2021Article
- Capsule Commentary on Pfoh et al.,the Impact of Systematic Depression Screening in Primary Care on Depression Identification and Treatment in a Large Health Care System: a Cohort Study.Journal of general internal medicine · 2020Article
- Young Women's Perspectives on Being Screened for Hereditary Breast and Ovarian Cancer Risk During Routine Primary Care.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
- Mental Health Screening Differences in Non-English Speaking Patients: Results From a Retrospective Cohort Study.Journal of primary care & community healthArticle
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUnless implementation of systematic depression screening is associated with timely treatment, quality measures based on screening are unlikely to improve outcomes.
objectiveTo assess the impact of integrating systematic depression screening with clinical decision support on depression identification and treatment.
designRetrospective pre-post study.
participantsAdults with a primary care visit within a large integrated health system in 2016 were included. Adults diagnosed with depression in 2015 or prior to their initial primary care visit in 2016 were excluded.
interventionInitiation of systematic screening using the Patient Health Questionnaire (PHQ) which began in mid-2016. MAIN MEASURES: Depression diagnosis was based on ICD codes. Treatment was defined as (1) antidepressant prescription, (2) referral, or (3) evaluation by a behavioral health specialist. We used an adjusted linear regression model to identify whether the percentage of visits with a depression diagnosis was different before versus after implementation of systematic screening. An adjusted multilevel regression model was used to evaluate the association between screening and odds of treatment. KEY
resultsOur study population included 259,411 patients. After implementation, 59% of patients underwent screening. Three percent scored as having moderate to severe depression. The rate of depression diagnosis increased by 1.2% immediately after systematic screening (from 1.7 to 2.9%). The percent of patients with diagnosed depression who received treatment within 90 days increased from 64% before to 69% after implementation (p < 0.01) and the adjusted odds of treatment increased by 20% after implementation (AOR 1.20, 95% CI 1.12-1.28, p < 0.01).
conclusionsImplementing systematic depression screening within a large health care system led to high rates of screening and increased rates of depression diagnosis and treatment.
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