Methods for assessing patient-clinician communication about depression in primary care: what you see depends on how you look.

ABSTRACT:

Objective

To advance research on depression communication and treatment by comparing assessments of communication about depression from patient report, clinician report, and chart review to assessments from transcripts.

Data

One hundred sixty-four primary care visits from seven health care systems (2010-2011).

Study design

Presence or absence of discussion about depressive symptoms, treatment recommendations, and follow-up was measured using patient and clinician postvisit questionnaires, chart review, and coding of audio transcripts. Sensitivity and specificity of indirect measures compared to transcripts were calculated.

Principal findings

Patient report was sensitive for mood (83 percent) and sleep (83 percent) but not suicide (55 percent). Patient report wa

SUBMITTER: Henry SG 

PROVIDER: S-EPMC4177306 | biostudies-literature | 2014 Oct

REPOSITORIES: biostudies-literature