Screening of Depression in Relationship to Subsequent Patient and Physician Behavior

When internal medicine clinic patients were prescreened for depression and this information was fed back to their physicians, significant effects could be noted on the medical records. On the initial visit, prescreening and previsit feedback about depression increased its notation in the medical record by three times, and among depressed patients, resulted in significantly fewer laboratory tests being orders (X = 2.85 vs. 8.12 for depressed patients with feedback after). During the following year, record notations about depression were more likely to be made for those depressed patients that initially were in the "feedback before" group. These patients also saw twice as many providers, made three times as many visits, had three times as any tests ordered, and twice as many medications prescribed as those depressed patients in the "feedback after" group. These findings demonstrate that simple prescreening and feedback techniques may have significant and persistent influences on several dimensions of patient and physician behavior

Depression (economics) · Medical record · Notation · Psychiatry · Internal Medicine · Medicine · Patient Safety and Medication Errors · Patient Satisfaction in Healthcare · Pharmaceutical Practices and Patient Outcomes · Psychology

• Medical and Psychiatric Determinants of Outpatient Medical Utilization

  Arthur J Barsky, Grace Wyshak et al.•Medical Care•1986

  Añadir item

• Screening for Depression in Primary Care Clinics

  Open Access•Jane Zich, Jane M Zich et al.•The International Journal of…•1990

  Añadir item

• Effect of a Short-term Outpatient Psychiatric Therapy Benefit on the Utilization of Medical Services in a Prepaid Group Practice Medical Program

  Irving D Goldberg, Goldie Krantz et al.•Medical Care•1970

  Añadir item