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Follow-up visits by provider specialty for patients with major depressive disorder initiating antidepressant treatment.

Publication ,  Journal Article
Chen, S-Y; Hansen, RA; Farley, JF; Gaynes, BN; Morrissey, JP; Maciejewski, ML
Published in: Psychiatr Serv
January 2010

OBJECTIVES: This study examined the association between provider specialty and guideline-concordant care after the initiation of antidepressant treatment. METHODS: Medical and prescription claims were analyzed from adults newly diagnosed as having major depressive disorder who initiated antidepressant treatment. Follow-up visits during the first 90 days after the index prescription were identified, and an indicator for receipt of guideline-concordant care (three or more visits) was created. Logistic regression models were used, and propensity score matching techniques were applied. Sensitivity analyses were conducted to investigate how results differed by varying the approach to identify follow-up visits. RESULTS: The study included 4,102 patients, and only 31% received guideline-concordant follow-up visits. Patients receiving their initial prescription from psychiatrists were nearly five times as likely as patients receiving their initial prescription from primary care providers to receive guideline-concordant follow-up care (odds ratio=4.6, 95% confidence interval=3.9-5.4). CONCLUSIONS: Routine care for antidepressant management falls short of guideline recommendations, especially in primary care.

Duke Scholars

Published In

Psychiatr Serv

DOI

EISSN

1557-9700

Publication Date

January 2010

Volume

61

Issue

1

Start / End Page

81 / 85

Location

United States

Related Subject Headings

  • Visitors to Patients
  • Psychiatry
  • Primary Health Care
  • Practice Patterns, Physicians'
  • Patient Compliance
  • Office Visits
  • Middle Aged
  • Male
  • Logistic Models
  • Insurance Claim Review
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Chen, S.-Y., Hansen, R. A., Farley, J. F., Gaynes, B. N., Morrissey, J. P., & Maciejewski, M. L. (2010). Follow-up visits by provider specialty for patients with major depressive disorder initiating antidepressant treatment. Psychiatr Serv, 61(1), 81–85. https://doi.org/10.1176/ps.2010.61.1.81
Chen, Shih-Yin, Richard A. Hansen, Joel F. Farley, Bradley N. Gaynes, Joseph P. Morrissey, and Matthew L. Maciejewski. “Follow-up visits by provider specialty for patients with major depressive disorder initiating antidepressant treatment.Psychiatr Serv 61, no. 1 (January 2010): 81–85. https://doi.org/10.1176/ps.2010.61.1.81.
Chen S-Y, Hansen RA, Farley JF, Gaynes BN, Morrissey JP, Maciejewski ML. Follow-up visits by provider specialty for patients with major depressive disorder initiating antidepressant treatment. Psychiatr Serv. 2010 Jan;61(1):81–5.
Chen, Shih-Yin, et al. “Follow-up visits by provider specialty for patients with major depressive disorder initiating antidepressant treatment.Psychiatr Serv, vol. 61, no. 1, Jan. 2010, pp. 81–85. Pubmed, doi:10.1176/ps.2010.61.1.81.
Chen S-Y, Hansen RA, Farley JF, Gaynes BN, Morrissey JP, Maciejewski ML. Follow-up visits by provider specialty for patients with major depressive disorder initiating antidepressant treatment. Psychiatr Serv. 2010 Jan;61(1):81–85.
Journal cover image

Published In

Psychiatr Serv

DOI

EISSN

1557-9700

Publication Date

January 2010

Volume

61

Issue

1

Start / End Page

81 / 85

Location

United States

Related Subject Headings

  • Visitors to Patients
  • Psychiatry
  • Primary Health Care
  • Practice Patterns, Physicians'
  • Patient Compliance
  • Office Visits
  • Middle Aged
  • Male
  • Logistic Models
  • Insurance Claim Review