Real-World Depression Screening Practices Among Primary Care Providers Across Patient-Level and Provider-Level Characteristics

被引：4

作者：

Bruni, Teryn ^{[1
,2
,9
]}

Smith, Shawna ^{[3
]}

Quigley, Joanna ^{[4
]}

Koval, Elizabeth ^{[5
]}

Lalonde, Leah ^{[6
]}

Maragakis, Alexandros ^{[7
]}

Kilbourne, Amy M. ^{[7
,8
]}

King, Cheryl ^{[4
]}

Orringer, Kelly ^{[1
]}

Lee, Joyce M. ^{[1
]}

机构：

[1] Univ Michigan, Dept Pediat, Michigan Med, Ann Arbor, MI USA

[2] Algoma Univ, Dept Psychol, Sault Ste Marie, ON, Canada

[3] Univ Michigan, Sch Publ Hlth, Ann Arbor, MI USA

[4] Michigan Med, Child & Adolescent Psychiat, Ann Arbor, MI USA

[5] Cent Michigan Univ, Mt Pleasant, MI USA

[6] Eastern Michigan Univ, Dept Psychol, Ypsilanti, MI USA

[7] Amer Coll Greece, Dept Psychol, Athens, Greece

[8] VA Ann Arbor Healthcare Syst, Ann Arbor, MI USA

[9] Algoma Univ, Dept Psychol, 1520 Queen St East, Sault Ste Marie, ON P6A2G4, Canada

来源：

CLINICAL PEDIATRICS | 2024年 / 63卷 / 10期

基金：

美国国家卫生研究院;

关键词：

primary care; follow-up; depression; screening; adolescent health/medicine; ADOLESCENT DEPRESSION; HEALTH-PROBLEMS; IDENTIFICATION; OUTCOMES; CHILDREN;

D O I：

10.1177/00099228231223782

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

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.

引用

页码：1442 / 1451

页数：10