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Disparities in depression screening following adoption of universal screening protocol
Blake Johnson1, Shahpar Najmabadi, Phillip Goetz
1Blake Johnson practices urology at Denver Health in Denver, CO. Shahpar Najmabadi is a research assistant professor in the Department of Family and Preventive Medicine at the University of Utah in Salt Lake City, UT. Phillip Goetz is a paramedic for the Unified Fire Authority in Bluffdale, UT, and practices home health at Signify Health in Salt Lake City, UT. Sasha Ure practices dermatology at Complete Dermatology in Mililani, HI. Sonora George practices in addiction medicine at Odyssey House in Salt Lake City, UT. Johanna Greenberg is an assistant professor in the Department of Family Medicine and Public Health at the University of Utah Spencer Fox Eccles School of Medicine in Salt Lake City, UT. Joanne Rolls is a clinical professor, director of didactic education, and vice chair of education in the Division of Physician Assistant Education and Sciences at the University of Utah Spencer Fox Eccles School of Medicine. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Objective:
This study aimed to evaluate the rates of depression screening between patient groups at an academic medical center (AMC)-associated family medicine clinic (FMC) that adopted universal annual depression screening.
Methods:
This study is a retrospective data analysis of electronic health records for patients seen within the AMC health system between June 1, 2021, and December 31, 2022, and whose assigned primary care provider practiced at the FMC. The demographic groups of interest were race, ethnicity, language preference, and insurance status.
Results:
Of the 12,428 patients included, 78.7% were 30 years of age or older, 59.9% identified as female, 82.9% as White, and 88.7% as not Hispanic or Latino/a/x; 97.2% preferred English and 72.3% had commercial insurance. Patients were less likely to be screened if they identified as male, identified as a non-White race, had a non-English language preference, or were uninsured.
Conclusion:
Focused interventions are needed to address the disparities in depression screening rates among these groups.
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