The impact on employment of an intervention to increase recognition of previously untreated anxiety among primary care physicians.
Anxiety is a common, though often unrecognized, problem in primary care settings.
This study examines the effect on employment of an intervention designed to attune primary care physicians to previously unrecognized and untreated anxiety.
Primary care physicians in a mixed-model health maintenance organization (HMO) were randomized by practice site to groups with (intervention) and without (usual care) intensive one-on-one education about anxiety and periodic feedback about their patients with anxiety.
All persons 21-65 years of age presenting to the offices of these primary care providers were screened for anxiety with the SCL-90-R on two occasions.
Those meeting the SCL-90-R cutpoints for anxiety and whose medical records provided no evidence of recognition or treatment for a mental health condition within the last 6 months were eligible for the study (n=637).
Of these, 573 (90%) completed two follow-up assessments.
The present study evaluates the impact of the intervention aimed at the primary care physicians on the labor force participation rate of the persons with anxiety after 5 months of follow-up.
The study also evaluates the impact of the intervention on hours of work and the presence of days spent in bed among the persons with anxiety working at the baseline interview and after 5 months.
At baseline, the patients of intervention and usual care physicians with previously unrecognized and untreated anxiety did not differ in labor force participatio...
Mots-clés Pascal : Trouble anxieux, Diagnostic, Médecin généraliste, Traitement, Absentéisme, Productivité travail, Homme
Mots-clés Pascal anglais : Anxiety disorder, Diagnosis, General practitioner, Treatment, Absenteeism, Labour productivity, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0181384
Code Inist : 002B30A01A2. Création : 199608.