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Patient perspectives on quality of care for depression and anxiety in primary health care teams: A qualitative study.
- Source :
- Health Expectations; Aug2021, Vol. 24 Issue 4, p1168-1177, 10p, 3 Charts
- Publication Year :
- 2021
-
Abstract
- Background: Widespread 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 teamābased 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. Objective: The main study objective was to understand patients' perspectives on the quality of care that they received for anxiety and depression in primary care teams. Methods: This 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. Results: Forty 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. Conclusion: Greater 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. [ABSTRACT FROM AUTHOR]
- Subjects :
- MEDICAL quality control
PATIENT aftercare
FOCUS groups
HEALTH services accessibility
GROUNDED theory
RESEARCH methodology
MENTAL health
INTERVIEWING
FAMILY health
PATIENTS' attitudes
PRIMARY health care
QUALITATIVE research
HEALTH care reform
MENTAL depression
INTERPROFESSIONAL relations
ANXIETY
DATA analysis software
PATIENT-professional relations
TRUST
PSYCHOTHERAPY
MENTAL illness
MEDICAL needs assessment
Subjects
Details
- Language :
- English
- ISSN :
- 13696513
- Volume :
- 24
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Health Expectations
- Publication Type :
- Academic Journal
- Accession number :
- 151957718
- Full Text :
- https://doi.org/10.1111/hex.13242