Evidence map›Paper›PMID 33949060›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2021

Patient perspectives on quality of care for depression and anxiety in primary health care teams: A qualitative study.

Rachelle Ashcroft, Matthew Menear, Andrea Greenblatt, Jose Silveira, Simone Dahrouge, Nadiya Sunderji, Monica Emode, Jocelyn Booton, Marvelous Muchenje, Rachel Cooper and 2 more

Open access · goldAbstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
5.5field-weighted citation impact, top 4% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. The Patient's Voice in Advanced Practice Nursing: A Qualitative Systematic Review of Lived Experiences.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2026
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  18. Consumer Perspectives on Anxiety Management in Australian General Practice.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 2 countries.

Rachelle AshcroftFactor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-5666-1946
Matthew MenearFaculty of Medicine, Department of Family Medicine and Emergency Medicine, Université Laval, Quebec, Quebec, Canada.ORCID 0000-0002-0436-6574
Andrea GreenblattFactor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada.
Jose SilveiraFaculty of Medicine, Department of Psychiatry, University of Toronto, Toronto, ON, Canada.
Simone DahrougeFaculty of Medicine, Department of Family Medicine, University of Ottawa, Ottawa, ON, Canada.
Nadiya SunderjiFaculty of Medicine, Department of Psychiatry, Institute for Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Monica EmodeSchool of Population and Public Health, University of British Columbia, Vancouver, Canada.
Jocelyn BootonFactor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada.
Marvelous MuchenjeFactor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada.
Rachel CooperCenter for Bioethics, Harvard Medical School, Boston, MA, USA.ORCID 0000-0001-5368-8927
Asante HaughtonStella's Place, Toronto, ON, Canada.
Kwame McKenzieFaculty of Medicine, Department of Psychiatry, University of Toronto I, Wellesley Institute, Toronto, ON, Canada.
University of Toronto · CAHarvard University · USUniversité Laval · CAUniversity of British Columbia · CAUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWidespread policy reforms in Canada, the United States and elsewhere over the last two decades strengthened team models of primary care by bringing together family physicians and nurse practitioners with a range of mental health and other interdisciplinary providers. Understanding how patients with depression and anxiety experience newer team-based models of care delivery is essential to explore whether the intended impact of these reforms is achieved, identify gaps that remain and provide direction on strengthening the quality of mental health care.

objectiveThe main study objective was to understand patients' perspectives on the quality of care that they received for anxiety and depression in primary care teams.

methodsThis was a qualitative study, informed by constructivist grounded theory. We conducted focus groups and individual interviews with primary care patients about their experiences with mental health care. Focus groups and individual interviews were recorded and transcribed verbatim. Grounded theory guided an inductive analysis of the data.

resultsForty patients participated in the study: 31 participated in one of four focus groups, and nine completed an individual interview. Participants in our study described their experiences with mental health care across four themes: accessibility, technical care, trusting relationships and meeting diverse needs.

conclusionGreater attention by policymakers is needed to strengthen integrated collaborative practices in primary care so that patients have similar access to mental health services across different primary care practices, and smoother continuity of care across sectors. The research team is comprised of individuals with lived experience of mental health who have participated in all aspects of the research process.

Indexed as

AnxietyDepressionFocus GroupsHumansPatient Care TeamPrimary Health CareQualitative ResearchUnited Statesinterprofessional teamsmental health carepatient engagementprimary carequality of care

Identifiers

PMID33949060
PMCPMC8369101
OpenAlexW3159315690

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.