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Tytuł:
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GPs' views on the use of depression screening and GP-targeted feedback: a qualitative study.
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Autorzy:
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Braunschneider LE; Institute and Outpatients Clinic for Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf, Building West 37, Martinistr. 52, 20246, Hamburg, Germany. .
Lehmann M; Institute and Outpatients Clinic for Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf, Building West 37, Martinistr. 52, 20246, Hamburg, Germany.
Magaard JL; Institute and Outpatients Clinic of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Seeralan T; Institute and Outpatients Clinic of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Marx G; Department of General Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Eisele M; Department of General Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Scherer M; Department of General Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Löwe B; Institute and Outpatients Clinic for Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf, Building West 37, Martinistr. 52, 20246, Hamburg, Germany.
Kohlmann S; Institute and Outpatients Clinic for Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf, Building West 37, Martinistr. 52, 20246, Hamburg, Germany.
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Źródło:
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Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation [Qual Life Res] 2021 Nov; Vol. 30 (11), pp. 3279-3286. Date of Electronic Publication: 2020 Nov 29.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Publication: 2005- : Netherlands : Springer Netherlands
Original Publication: Oxford, UK : Rapid Communications of Oxford, Ltd, c1992-
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MeSH Terms:
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Attitude of Health Personnel*
Depression*/diagnosis
General Practitioners*
Physician-Patient Relations*
Adult ; Aged ; Feedback ; Female ; Germany ; Humans ; Male ; Middle Aged ; Qualitative Research
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References:
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JAMA. 2013 Nov 6;310(17):1818-28. (PMID: 24193079)
Curr Psychiatry Rep. 2012 Aug;14(4):328-35. (PMID: 22580833)
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2019 Feb;62(2):205-213. (PMID: 30607447)
BJPsych Open. 2016 Mar 9;2(2):127-138. (PMID: 27703765)
Fam Pract. 2012 Jun;29(3):255-63. (PMID: 22016322)
Lancet. 2009 Aug 22;374(9690):609-19. (PMID: 19640579)
JAMA. 2016 Jan 26;315(4):380-7. (PMID: 26813211)
Br J Psychiatry. 2017 Feb;210(2):132-139. (PMID: 27908896)
J Gen Intern Med. 2001 Sep;16(9):606-13. (PMID: 11556941)
BMJ. 2009 Mar 19;338:b663. (PMID: 19299474)
Qual Prim Care. 2009;17(4):251-61. (PMID: 19807958)
Int J Methods Psychiatr Res. 2014 Sep;23(3):304-19. (PMID: 24729411)
Int J Qual Health Care. 2007 Dec;19(6):349-57. (PMID: 17872937)
Eur Arch Psychiatry Clin Neurosci. 2012 Nov;262 Suppl 2:S57-63. (PMID: 22972562)
Fam Pract. 2014 Apr;31(2):215-21. (PMID: 24414275)
J Med Screen. 2001;8(1):1. (PMID: 11373841)
BMJ Open. 2020 Sep 21;10(9):e035973. (PMID: 32958483)
Health Expect. 2021 May;24 Suppl 1:95-112. (PMID: 32286005)
Int J Qual Stud Health Well-being. 2014 Nov 06;9:24866. (PMID: 25381757)
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Contributed Indexing:
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Keywords: Depression; Feedback; General practitioners; Primary care; Screening
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Entry Date(s):
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Date Created: 20201129 Date Completed: 20211125 Latest Revision: 20220531
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Update Code:
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20240105
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PubMed Central ID:
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PMC8528735
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DOI:
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10.1007/s11136-020-02703-2
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PMID:
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33249538
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Purpose: The first aim of this qualitative study was to identify general practitioners' (GPs') views on depression screening combined with GP-targeted feedback in primary care. The second aim was to determine the needs and preferences of GPs with respect to GP-targeted feedback to enhance the efficacy of depression screening.
Methods: A semistructured qualitative interview was conducted with officially registered GPs in Hamburg (Germany). Interviews were audio recorded and transcribed verbatim. An inductive approach was used to code the transcripts.
Results: Nine GPs (27 to 70 years; 5 male) from Hamburg, Germany, participated. Regarding depression screening combined with GP-targeted feedback, five thematic groups were identified: application of screening; screening and patient-physician relationships; GPs' attitudes towards screening; benefits and concerns related to screening; and GPs' needs and preferences regarding feedback. While the negative aspects of screening can be described in rather general terms (e.g., screening determines the mental health competence, screening threatens the doctor-patient relationship, revealing questions harm the patients), its advantages were very specific (e.g., promoting the identification of undetected cases, relief of the daily workload, wider communication channel to reach more patients). Standardized GP-targeted feedback of the screening results was perceived as helpful and purposeful. GPs preferred feedback materials that eased their clinical workload (e.g., short text with visuals, pictures, or images).
Conclusion: Addressing GPs' needs is essential when implementing depression screening tools in clinical practice. To overcome prejudices and enhance the efficacy of screening, further education for GPs on the purpose and application on depression screening may be needed. Standardized GP-targeted feedback in combination with depression screening could be the missing link to improve the detection of depression in primary care.
(© 2021. The Author(s).)
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