Too little time? The recognition and treatment of mental health problems in primary care

Research output: Contribution to journalArticle

Abstract

Objectives. To assess the effect of practice characteristics on the diagnosis and treatment of mental health problems in primary care. Data Source. National Ambulatory Medical Care Survey (NAMCS) 1991-1994. Study Design. We examine the effect of visit characteristics and practice characteristics on rates of diagnosis of mental health problems, rates of referral, and rates of use of psychotropic medications. We characterize each primary care physician's practice using information about the ways in which that physician treated patients who did not have mental health problems. Principal Findings. We find that median visit duration has a small, statistically insignificant effect on the rate of diagnosis and treatment of mental health problems. Physicians with large HMO caseloads are slightly more likely to diagnose mental health problems, but less likely to prescribe psychotropic medications, than are physicians who see few HMO patients. Practice style and specialty are important determinants of diagnosis and, to a lesser extent, of treatment. Conclusions. Physician specialty and practice style are more strongly related to mental health diagnosis and treatment than are system characteristics such as visit duration and insurance composition.

Original languageEnglish (US)
Pages (from-to)891-910
Number of pages20
JournalHealth Services Research
Volume33
Issue number4 I
StatePublished - Oct 1998

Fingerprint

Primary Health Care
Mental Health
mental health
physician
Physicians
Health Maintenance Organizations
medication
Therapeutics
Health Care Surveys
Information Storage and Retrieval
Primary Care Physicians
Insurance
medical care
insurance
time
Referral and Consultation
determinants

Keywords

  • Managed care
  • Mental health
  • Visit duration

ASJC Scopus subject areas

  • Health Policy
  • Nursing(all)
  • Health(social science)
  • Health Professions(all)

Cite this

Too little time? The recognition and treatment of mental health problems in primary care. / Glied, Sharon.

In: Health Services Research, Vol. 33, No. 4 I, 10.1998, p. 891-910.

Research output: Contribution to journalArticle

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