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Real-World Depression Screening Practices Among Primary Care Providers Across Patient-Level and Provider-Level Characteristics.

Teryn P BruniShawna SmithJoanna QuigleyElizabeth KovalLeah LaLondeAlexandros MaragakisAmy M KilbourneCheryl KingKelly OrringerJoyce M Lee
Published in: Clinical pediatrics (2024)
This study examined primary care provider (PCP) alignment with guideline-based care for adolescent depression screening and identified factors associated with post-screening responses. A retrospective chart review was conducted across 17 primary care clinics. Logistical regressions were estimated across provider specialties, sociodemographic factors, and patient clinical histories. Significant differences in follow-up and identification of depression were found among patients with more severe depression presentation. Follow-up screening was also more likely to be completed among patients with private insurance and less likely to occur among Black patients. Patients with significant mental health history of a mood concern, history of being prescribed psychotropic medication, were currently on medications at the time of the screening, or had a history of an internal mental health referral had a higher predicted probability of being identified as depressed on the patient problem list.
Keyphrases
  • primary care
  • mental health
  • healthcare
  • depressive symptoms
  • case report
  • sleep quality
  • general practice
  • end stage renal disease
  • ejection fraction
  • health insurance
  • peritoneal dialysis
  • chronic pain