scholarly journals Integration of geriatric mental health screening into a primary care practice: a patient satisfaction survey

2014 ◽  
Vol 30 (5) ◽  
pp. 539-546 ◽  
Author(s):  
S. Samuels ◽  
R. Abrams ◽  
R. Shengelia ◽  
M. C. Reid ◽  
R. Goralewicz ◽  
...  
2018 ◽  

This indispensable resource provides vital guidance for integrating mental health care into your everyday primary care practice. https://shop.aap.org/mental-health-care-of-children-and-adolescents-a-guide-for-primary-care-clinicians-paperback/


2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Christine Geyti ◽  
Else-Marie Dalsgaard ◽  
Annelli Sandbæk ◽  
Helle Terkildsen Maindal ◽  
Kaj Sparle Christensen

2013 ◽  
Vol 11 (5) ◽  
pp. 460-466 ◽  
Author(s):  
F. Goodyear-Smith ◽  
J. Warren ◽  
M. Bojic ◽  
A. Chong

2019 ◽  
Vol 7 (4) ◽  
pp. e000208
Author(s):  
Rebecca Vitale ◽  
Samantha Smith ◽  
Benjamin R Doolittle

ObjectiveThe objective of this study was to improve the telephone communication experience for patients in a primary care practice.DesignAn exploratory survey was conducted that revealed suboptimal patient satisfaction with clinic access due to the telephone triage system. Several interventions were designed: a monthly quality meeting was established among clinic staff, all phone interactions were recorded in the electronic medical record (EMR) and clinic appointments were made available several months in advance. A follow-up survey was conducted to evaluate these interventions.SettingThe study was conducted in a multispecialty, urban-based, resident-faculty practice from November 2016 to November 2017.ParticipantsSubjects were recruited in a convenience sample from the waiting room. 200 subjects participated in the initial survey and 215 in the second survey.ResultsAfter the interventions, patients felt that their questions were answered more frequently than before (p<0.01). They also felt that appointments were easier to make (p=0.03). A similar number of patients reported seeking emergency care because they were unable to reach a provider (33.8% vs 31.9%, p=0.68). The percentage of patients who received a call back within 24 hours increased, but it was not statistically significant (38.6% vs 44%, p=0.13).ConclusionImproving telephone triage through implementing a monthly quality improvement meeting, optimising use of the EMR and opening schedules several months in advance resulted in several improvements in the patient experience, but did not change use of emergency services. Further interventions, including increased resource allocation, are needed to optimise patient experience.


2011 ◽  
Vol 51 (4) ◽  
pp. 359-365 ◽  
Author(s):  
Evelyn Berger-Jenkins ◽  
Mary McCord ◽  
Trish Gallagher ◽  
Mark Olfson

2019 ◽  
Vol 58 (4) ◽  
pp. 437-445
Author(s):  
Michael L. Rinke ◽  
Miguelina German ◽  
Bridget Azera ◽  
Moonseong Heo ◽  
Nicole M. Brown ◽  
...  

Adolescent depression causes morbidity and is underdiagnosed. It is unclear how mental health screening and integrated mental health practitioners change adolescent depression identification. We conducted a retrospective primary care network natural cohort study where 10 out of 19 practices implemented mental health screening, followed by the remaining 9 practices implementing mental health screening with less coaching and support. Afterward, a different subset of 8 practices implemented integrated mental health practitioners. Percentages of depression-coded adolescent visits were compared between practices (1) with and without mental health screening and (2) with and without integrated mental health practitioners, using difference-in-differences analyses. The incidence of depression-coded visits increased more in practices that performed mental health screening (ratio of odds ratios = 1.22; 95% confidence interval =1.00-1.49) and more in practices with integrated mental health practitioners (ratio of odds ratios = 1.58; 95% confidence interval = 1.30-1.93). Adolescent mental health screening and integrated mental health practitioners increase depression-coded visits in primary care.


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