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A qualitative study of primary care professionals' views of case finding for depression in patients with diabetes or coronary heart disease in the UK.

Maxwell, Margaret; Harris, Fiona; Hibberd, Carina; Donaghy, Eddie; Pratt, Rebekah; Williams, Chris; Morrison, Jill; Gibb, Jennifer; Watson, Philip; Burton, Chris

Authors

Margaret Maxwell

Fiona Harris

Carina Hibberd

Eddie Donaghy

Rebekah Pratt

Chris Williams

Jill Morrison

Jennifer Gibb

Philip Watson

Chris Burton



Abstract

Routinely conducting case finding (also commonly referred to as screening) in patients with chronic illness for depression in primary care appears to have little impact. We explored the views and experiences of primary care nurses, doctors and managers to understand how the implementation of case finding/screening might impact on its effectiveness. We identified several features of the way case finding/screening was implemented that may lead to systematic under-detection of depression. These included obstacles to incorporating case finding/screening into a clinical review consultation; a perception of replacing individualised care with mechanistic assessment, and a disconnection for nurses between management of physical and mental health. Far from being a standardised process that encouraged detection of depression, participants described case finding/screening as being conducted in a way which biased it towards negative responses, and for nurses, it was an uncomfortable task for which they lacked the necessary skills to provide immediate support to patients at the time of diagnosis.

Journal Article Type Article
Publication Date Apr 4, 2013
Journal BMC family practice
Electronic ISSN 1471-2296
Publisher Springer (part of Springer Nature)
Peer Reviewed Peer Reviewed
Volume 14
Article Number 46
Institution Citation MAXWELL, M., HARRIS, F., HIBBERD, C., DONAGHY, E., PRATT, R., WILLIAMS, C., MORRISON, J., GIBB, J., WATSON, P. and BURTON, C. 2013. A qualitative study of primary care professionals' views of case finding for depression in patients with diabetes or coronary heart disease in the UK. BMC family practice [online], 14, article number 46. Available from: https://doi.org/10.1186/1471-2296-14-46
DOI https://doi.org/10.1186/1471-2296-14-46
Keywords Depression; Case finding; Screening; PHQ9; Diabetes; Coronary heart disease; Primary care

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