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Related Experiment Videos

Referrals for depression by primary care physicians. A pilot study

D N Little1, C Hammond, D Kollisch

  • 1Department of Family Practice, University of Vermont College of Medicine, Burlington 05405-0068, USA. David.Little@vtmednet.org

The Journal of Family Practice
|December 3, 1998
PubMed
Summary
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Primary care physicians (PCPs) and mental health providers (MHPs) face communication barriers in managing depression. Improving PCP-MHP communication could enhance patient referral satisfaction.

Area of Science:

  • Health Services Research
  • Primary Care Medicine
  • Mental Health Services

Background:

  • Effective communication between primary care physicians (PCPs) and mental health providers (MHPs) is crucial for managing depressive disorders.
  • This study examines the referral process from PCPs to MHPs within a rural research network.

Purpose of the Study:

  • To investigate the nature and effectiveness of referrals from PCPs to MHPs for patients with depressive and non-mental health disorders.
  • To identify communication barriers and assess referral outcomes.

Main Methods:

  • A pilot study involving 5 family physicians tracking referrals over 6 weeks (April-September 1997).
  • Referral outcomes were assessed after 3 months, focusing on communication extent and consultation effectiveness.

Related Experiment Videos

  • Patients with depressive and non-mental health conditions were included.

    • Main Results:

    • Physicians reported a greater sense of urgency for depression-related referrals.
    • Written documentation of referrals in patient charts was more frequent for non-mental health disorders at 3 months.
    • Sixty-seven patients were followed (23 with depression, 44 with other conditions).

    Conclusions:

    • The study highlights existing communication barriers between PCPs and MHPs.
    • Enhanced communication strategies may improve satisfaction with the mental health referral process.
    • Further research is needed to fully understand and address referral process details.