A primary care first (PCP-first) model to screen and treat depression: A VitalSign6 report from a second cohort of 32,106 patients
| Autor: | Margaret Z. Wang, Taryn L. Mayes, Manish K. Jha, Sara Levinson, Tracy L. Greer, Madhukar H. Trivedi, Ronny Pipes, Abu Minhajuddin |
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| Rok vydání: | 2022 |
| Předmět: |
Pediatrics
medicine.medical_specialty Generalized anxiety disorder business.industry Primary care Screen and treat medicine.disease behavioral disciplines and activities humanities Patient Health Questionnaire Psychiatry and Mental health Pharmacotherapy Clinical diagnosis mental disorders Cohort Medicine business Depression (differential diagnoses) |
| Zdroj: | General Hospital Psychiatry. 74:1-8 |
| ISSN: | 0163-8343 |
| DOI: | 10.1016/j.genhosppsych.2021.11.001 |
| Popis: | Purpose This report from VitalSign6 project describes treatment selection, follow-up rates and remission outcomes by initial depression severity using the PCP-FIRST model. Methods This retrospective analysis included 32,106 patients aged ≥12 years screened with the Patient Health Questionnaire 2-item (PHQ-2) from November 2016 to July 2019 across 37 primary care clinics. PHQ-2 positive-screen patients (PHQ-2 ≥ 3) received 9-item PHQ (PHQ-9) and 7-item Generalized Anxiety Disorder scales, clinician assessments, and evaluation for pharmacotherapy management with measurement-based care (MBC). Results Of PHQ-2 screened patients, 18.7% (5994/32,106) were positive and received a PHQ-9. Of 5994 patients with PHQ-9, 2571 received a clinical diagnosis of depression of whom, 333 had none-mild depression (PHQ-9 Conclusions Despite this being a real-world, usual care sample, remission outcomes exceed real world remission rate expectations of 6% in primary care. |
| Databáze: | OpenAIRE |
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