1. Real-World Depression Screening Practices Among Primary Care Providers Across Patient-Level and Provider-Level Characteristics.
- Author
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Bruni, Teryn, Smith, Shawna, Quigley, Joanna, Koval, Elizabeth, LaLonde, Leah, Maragakis, Alexandros, Kilbourne, Amy M., King, Cheryl, Orringer, Kelly, and Lee, Joyce M.
- Subjects
DIAGNOSIS of mental depression ,MENTAL depression risk factors ,MEDICAL protocols ,RISK assessment ,MENTAL health ,ACADEMIC medical centers ,RESEARCH funding ,PRIMARY health care ,LOGISTIC regression analysis ,HEALTH insurance ,RETROSPECTIVE studies ,PRIVATE sector ,MEDICAL records ,ACQUISITION of data ,MEDICAL screening ,PSYCHIATRIC drugs ,ADOLESCENCE - Abstract
This study examined primary care provider (PCP) alignment with guideline-based care for adolescent depression screening and identified factors associated with post-screening responses. A retrospective chart review was conducted across 17 primary care clinics. Logistical regressions were estimated across provider specialties, sociodemographic factors, and patient clinical histories. Significant differences in follow-up and identification of depression were found among patients with more severe depression presentation. Follow-up screening was also more likely to be completed among patients with private insurance and less likely to occur among Black patients. Patients with significant mental health history of a mood concern, history of being prescribed psychotropic medication, were currently on medications at the time of the screening, or had a history of an internal mental health referral had a higher predicted probability of being identified as depressed on the patient problem list. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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