Screening for Depression and High Utilization of Health Care Resources Among Patients in Primary Care

被引：0
作者：
Anne Berghöfer
Stephanie Roll
Michael Bauer
Stefan N. Willich
Andrea Pfennig
机构：
[1] Charité University Medical Center,Institute for Social Medicine, Epidemiology and Health Economics
[2] Technische Universität Dresden,Department of Psychiatry and Psychotherapy, Carl Gustav Carus University Hospital
来源：
Community Mental Health Journal | 2014年 / 50卷
关键词：
Primary care; Depression; Screening; High utilizer; B-PHQ;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
The study aims to evaluate the prevalence of depression and the severity of depressive symptoms among primary care patients, who are high utilizers (HU) of health care resources. A cross-sectional, two-stage design was applied to screen for depression using the Brief Psychiatric Health Questionnaire and the Diagnostic Expert System for Psychiatric Disorders. A total of 38 primary care physicians accredited to practice in Berlin and Potsdam in Germany participated in the study. A total of 1,775 patients participated, 507 were identified as HU, 182 (36 %) of these were depressed compared to 81 (11 %) of the typical utilizers (p < 0.001). The depression score was higher and acute suicidality was more prevalent in HU than in typical utilizers (p < 0.001). Our results suggest that HU represent a population with a high prevalence of depression in primary care and should be considered for routine depression screening.
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页码：753 / 758
页数：5
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