Improving care in depression: qualitative study investigating the effects of using a mental health questionnaire.

摘要: Background Depression has major health and social consequences. There is concern that general practitioners (GPs), who manage most depression in primary care, are reluctant to use assessment tools such as questionnaires might improve diagnosis management. A Cochrane systematic review recommended qualitative exploratory studies explore the impact of on GP AimTo identify effects using mental views GPs managing depression, how this influence patient care. DesignQualitative, formative evaluation principles grounded theory analysis semistructured interviews focus groups before after introducing questionnaire. Setting Four practices South London. Participants Twenty GPs, whom four contributed pilot only, 16 completed main study. Main outcome measure Identification changes a result questionnaire with patients. ResultsThree themes emerged from depression: control responsibility; doctor–patient relationship, support for doctor. These were influenced by GPs’ experience (years practice), perceived time spent dealing (involvement). Use enabled more experienced relinquish control, encourage involvement, offer alternative sources help. They felt less responsible overall Less experienced, involved found supportive through increasing their confidence asking difficult questions, encouraged look which they previously have avoided. ConclusionsUsing helped feel confident detecting there was greater willingness than previous studies. Most sought reduced responsibility ongoing involve patients pass them or other agencies.