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Which primary care physicians treat depression?

J Rabinowitz1, D Feldman, R Gross

  • 1School of Social Work, Bar-Ilan University, Ramat Gan, Israel.

Psychiatric Services (Washington, D.C.)
|January 28, 1998
PubMed
Summary
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Most primary care physicians (PCPs) in Israel treat depression, with over half always or usually doing so. Those who consistently treat depression often manage more conditions and collaborate with social workers.

Area of Science:

  • Primary Care Medicine
  • Mental Health Services
  • Physician Practice Patterns

Background:

  • Depression is a prevalent condition managed within primary care settings.
  • Understanding the extent of depression treatment by primary care physicians (PCPs) is crucial for healthcare planning.
  • Variations in treatment approaches among PCPs necessitate investigation into influencing factors.

Purpose of the Study:

  • To determine the proportion of PCPs in Israel who treat depression.
  • To identify characteristics associated with PCPs who consistently treat depression.

Main Methods:

  • A national survey of 677 primary care physicians in Israel was conducted.
  • Data on depression treatment frequency and physician characteristics were collected.

Related Experiment Videos

  • Logistic regression analysis was used to identify factors associated with consistent depression treatment.

    • Main Results:

    • 22% of PCPs always treated depression, 36.6% usually did, 28.6% sometimes did, and 12.6% never did.
    • Physicians who always or usually treated depression managed more medical conditions.
    • These physicians viewed themselves as the first point of contact for psychosocial issues and had more frequent contact with social workers.
    • Specialization in family medicine was associated with higher rates of depression treatment.

    Conclusions:

    • A significant majority of Israeli PCPs are involved in treating depression.
    • Physicians with a broader scope of practice, a strong sense of responsibility for psychosocial issues, and collaborative relationships are more likely to treat depression consistently.
    • These findings highlight the integral role of primary care in mental health management and suggest potential targets for improving depression care delivery.