Impact of screening for mental health concerns on health service utilization and functional status in primary care patients.
Mental health concerns are common in primary care patients and are often inadequately addressed by primary care physicians.
To assess the impact of screening for mental disorders in internal medicine patients.
Randomly selected patients (n=358) visiting physicians in 2 firms of an urban academic internal medicine clinic were screened for mental disorders using the 16-item Symptom-Driven Diagnostic System for Primary Care (Upjohn Co, Kalamazoo, Mich) first-stage screening questionnaire.
In the experimental firm, physicians received the screening results and then administered second-stage diagnostic modules.
In the control firm, physicians were not notified of the results of the screening questionnaire.
Baseline and 3-month function were assessed using the SF-36 Health Survey, the Zung Self-Rating Depression Scale, and the Sheehan Patient-Rated Anxiety Scale.
Patient satisfaction and health care utilization were also assessed by questionnaire at baseline and after 3 months.
Patients screening positively for any mental disorder (n=238,66.5%) had markedly lower baseline functional status than those screening negatively (P<. 05 on all 8 SF-36 Health Survey subscales) and more total (± SD) outpatient visits over 3 months (4.5 ± 5.5 vs 2.5 ± 2.6 visits, P=001). (...)
Mots-clés Pascal : Santé mentale, Dépistage, Soin santé primaire, Trouble psychiatrique, Etats Unis, Amérique du Nord, Amérique, Symptomatologie, Questionnaire, Homme
Mots-clés Pascal anglais : Mental health, Medical screening, Primary health care, Mental disorder, United States, North America, America, Symptomatology, Questionnaire, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0066531
Code Inist : 002B18H05A. Création : 21/05/1997.