The effects of patient-centered depression care on patient satisfaction and depression remission.
Fam Pract
; 33(6): 649-655, 2016 12.
Article
em En
| MEDLINE
| ID: mdl-27535330
ABSTRACT
BACKGROUND:
While health systems are striving for patient-centered care, they have little evidence to guide them on how to engage patients in their care, or how this may affect patient experiences and outcomes.OBJECTIVE:
To explore which specific patient-centered aspects of care were best associated with depression improvement and care satisfaction.METHODS:
Design:
observational.SETTING:
83 primary care clinics across Minnesota.SUBJECTS:
Primary care patients with new prescriptions for antidepressants for depression were recruited from 2007 to 2009. OUTCOMEMEASURES:
Patients completed phone surveys regarding demographics and self-rated health status and depression severity at baseline and 6 months. Patient centeredness was assessed via a modified version of the Patient Assessment of Chronic Illness Care. Differences in rates of remission and satisfaction between positive and negative responses for each care process were evaluated using chi-square tests.RESULTS:
At 6 months, 37% of 792 patients ages 18-88 achieved depression remission, and 79% rated their care as good-to-excellent. Soliciting patient preferences for care and questions or concerns, providing treatment plans, utilizing depression scales and asking about suicide risk were patient-centered measures that were positively associated with depression remission in the unadjusted model; these associations were mildly weakened after adjustment for depression severity and health status. Nearly all measures of patient centeredness were positively associated with care ratings.CONCLUSION:
The patient centeredness of care influences how patients experience and rate their care. This study identified specific actions providers can take to improve patient satisfaction and depression outcomes.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Atenção Primária à Saúde
/
Satisfação do Paciente
/
Assistência Centrada no Paciente
/
Depressão
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Qualitative_research
Limite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Humans
/
Middle aged
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article