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Primary care physicians' experience with mental health consultation
K Kushner1, R Diamond, J W Beasley
1Department of Family Medicine, University of Wisconsin-Madison, USA. kkushner@fammed.wisc.edu
Primary care physicians in Wisconsin reported moderate access to mental health professionals, with challenges for uninsured or publicly insured patients. Integrated practices improved access, regardless of community size or managed care status.
Area of Science:
- Primary Care
- Mental Health Services
- Healthcare Access
Background:
- Primary care physicians are crucial for initial mental health assessments and referrals.
- Understanding primary care physicians' perspectives on mental health care access is vital for improving patient outcomes.
Purpose of the Study:
- To explore primary care physicians' experiences with consulting and referring patients to mental health professionals in Wisconsin.
- To identify factors influencing perceived access to mental health care services.
Main Methods:
- A survey was administered to 684 primary care physicians in Wisconsin.
- Data collected focused on perceived access to mental health care professionals and referral experiences.
Main Results:
- Physicians reported only moderate access to mental health professionals.
- Access was diminished for patients with Medicare, Medicaid, or no insurance.
- Physicians in group practices with integrated mental health services reported better access.
Conclusions:
- Primary care physicians face challenges in accessing mental health services for their patients, particularly those with limited insurance coverage.
- Integrating mental health professionals into primary care settings may improve access to care.
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