Depressive primary care patients’ assessment of received collaborative care
Abstract The “Patient Assessment of Chronic Illness Care” (PACIC) is a tool for evaluating outpatient health service for patients with chronic diseases. Our aim was to analyze the association between PACIC scores of primary care patients with depression and patients’ or patients’ general practitione...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Nature Portfolio
2023-02-01
|
| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-29339-9 |
| _version_ | 1811165909556920320 |
|---|---|
| author | K. Lukaschek C. Beltz S. Rospleszcz H. Schillok P. Falkai J. Margraf J. Gensichen |
| author_facet | K. Lukaschek C. Beltz S. Rospleszcz H. Schillok P. Falkai J. Margraf J. Gensichen |
| author_sort | K. Lukaschek |
| collection | DOAJ |
| description | Abstract The “Patient Assessment of Chronic Illness Care” (PACIC) is a tool for evaluating outpatient health service for patients with chronic diseases. Our aim was to analyze the association between PACIC scores of primary care patients with depression and patients’ or patients’ general practitioners’ (GPs) characteristics. In a data set including depressive primary care patients (N = 280) the association of patient characteristics (sex, age, depressive symptom severity, suicidal ideation) with PACIC scores were assessed by linear regression models. The association between GPs’ characteristics (type, location of practice; age, qualification of practitioner) and PACIC scores was assessed by linear mixed models with individual practices as random effects. Patient Health Questionnaire (PHQ-9) scores at 12 months follow up and changes in PHQ-9 scores from baseline to follow up were significantly positive associated with higher PACIC scores (beta = 0.67, 95%-CI [0.02, 1.34]). PACIC scores were not associated with patients’ sex (p = 0.473) or age (p = 0.531). GP’s age was negatively associated with PACIC scores (p = 0.03). In conclusion, in patients with depression, the PACIC is independent from patients’ and GPs’ characteristics. The PACIC may be appropriate to assess patient-perspective on depression services in primary care. |
| first_indexed | 2024-04-10T15:44:58Z |
| format | Article |
| id | doaj.art-1a135678072d4c1ea9889df05bc06857 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-10T15:44:58Z |
| publishDate | 2023-02-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-1a135678072d4c1ea9889df05bc068572023-02-12T12:10:02ZengNature PortfolioScientific Reports2045-23222023-02-011311910.1038/s41598-023-29339-9Depressive primary care patients’ assessment of received collaborative careK. Lukaschek0C. Beltz1S. Rospleszcz2H. Schillok3P. Falkai4J. Margraf5J. Gensichen6Institute of General Practice and Family Medicine, University Hospital, LMU MunichInstitute of General Practice and Family Medicine, University Hospital, LMU MunichDepartment of Epidemiology, Institute for Medical Information Processing, Biometry and Epidemiology, Ludwig-Maximilians-Universität MünchenInstitute of General Practice and Family Medicine, University Hospital, LMU MunichDepartment of Psychiatry and Psychotherapy, University Hospital, LMU MunichMental Health Research and Treatment Center, Ruhr-University BochumInstitute of General Practice and Family Medicine, University Hospital, LMU MunichAbstract The “Patient Assessment of Chronic Illness Care” (PACIC) is a tool for evaluating outpatient health service for patients with chronic diseases. Our aim was to analyze the association between PACIC scores of primary care patients with depression and patients’ or patients’ general practitioners’ (GPs) characteristics. In a data set including depressive primary care patients (N = 280) the association of patient characteristics (sex, age, depressive symptom severity, suicidal ideation) with PACIC scores were assessed by linear regression models. The association between GPs’ characteristics (type, location of practice; age, qualification of practitioner) and PACIC scores was assessed by linear mixed models with individual practices as random effects. Patient Health Questionnaire (PHQ-9) scores at 12 months follow up and changes in PHQ-9 scores from baseline to follow up were significantly positive associated with higher PACIC scores (beta = 0.67, 95%-CI [0.02, 1.34]). PACIC scores were not associated with patients’ sex (p = 0.473) or age (p = 0.531). GP’s age was negatively associated with PACIC scores (p = 0.03). In conclusion, in patients with depression, the PACIC is independent from patients’ and GPs’ characteristics. The PACIC may be appropriate to assess patient-perspective on depression services in primary care.https://doi.org/10.1038/s41598-023-29339-9 |
| spellingShingle | K. Lukaschek C. Beltz S. Rospleszcz H. Schillok P. Falkai J. Margraf J. Gensichen Depressive primary care patients’ assessment of received collaborative care Scientific Reports |
| title | Depressive primary care patients’ assessment of received collaborative care |
| title_full | Depressive primary care patients’ assessment of received collaborative care |
| title_fullStr | Depressive primary care patients’ assessment of received collaborative care |
| title_full_unstemmed | Depressive primary care patients’ assessment of received collaborative care |
| title_short | Depressive primary care patients’ assessment of received collaborative care |
| title_sort | depressive primary care patients assessment of received collaborative care |
| url | https://doi.org/10.1038/s41598-023-29339-9 |
| work_keys_str_mv | AT klukaschek depressiveprimarycarepatientsassessmentofreceivedcollaborativecare AT cbeltz depressiveprimarycarepatientsassessmentofreceivedcollaborativecare AT srospleszcz depressiveprimarycarepatientsassessmentofreceivedcollaborativecare AT hschillok depressiveprimarycarepatientsassessmentofreceivedcollaborativecare AT pfalkai depressiveprimarycarepatientsassessmentofreceivedcollaborativecare AT jmargraf depressiveprimarycarepatientsassessmentofreceivedcollaborativecare AT jgensichen depressiveprimarycarepatientsassessmentofreceivedcollaborativecare |