PMID: 8951303Dec 9, 1996Paper

Impact of screening for mental health concerns on health service utilization and functional status in primary care patients

Archives of Internal Medicine
D R ReiflerG J Martin

Abstract

Mental health concerns are common in primary care patients and are often inadequately addressed by primary care physicians. To assess the impact of screening for mental disorders in internal medicine patients. Randomly selected patients (n = 358) visiting physicians in 2 firms of an urban academic internal medicine clinic were screened for mental disorders using the 16-item Symptom-Driven Diagnostic System for Primary Care (Upjohn Co, Kalamazoo, Mich) first-stage screening questionnaire. In the experimental firm, physicians received the screening results and then administered second-stage diagnostic modules. In the control firm, physicians were not notified of the results of the screening questionnaire. Baseline and 3-month function were assessed using the SF-36 Health Survey, the Zung Self-Rating Depression Scale, and the Sheehan Patient-Rated Anxiety Scale. Patient satisfaction and health care utilization were also assessed by questionnaire at baseline and after 3 months. Patients screening positively for any mental disorder (n = 238, 66.5%) had markedly lower baseline functional status than those screening negatively (P < .05 on all 8 SF-36 Health Survey subscales) and more total (+/- SD) outpatient visits over 3 months (4.5...Continue Reading

Citations

Dec 19, 2002·Quality & Safety in Health Care·H TiemeierH Rigter
Apr 8, 2003·Quality & Safety in Health Care·S M GilbodyR E Thomas
Apr 9, 2008·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Simon GilbodyAllan House
Jun 14, 2012·BMC Medical Research Methodology·Felicity A Goodyear-SmithChris Del Mar
Jul 9, 2002·General Hospital Psychiatry·John W WilliamsChristina Perez Stellato
Jul 19, 2013·The Journal of Sexual Medicine·Kelly D Suschinsky, Martin L Lalumière
Oct 3, 2007·Mayo Clinic Proceedings·Elizabeth A HahnUNKNOWN Clinical Significance Consensus Meeting Group
Dec 3, 1998·The Journal of Family Practice·M S Klinkman, I Okkes
Dec 13, 2006·International Journal of Psychiatry in Medicine·Donald E NeaseJames E Aikens
May 7, 2002·Clinical Nursing Research·Terry M A DavisG Fred MacDonald
Apr 14, 2005·International Journal of Psychiatry in Medicine·Linda S KahnCharles O Hershey
Nov 4, 2011·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Claire F SnyderMaria Santana
Oct 20, 2005·The Cochrane Database of Systematic Reviews·S GilbodyT A Sheldon
Jan 22, 2003·The Cochrane Database of Systematic Reviews·S M GilbodyT A Sheldon

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