دورية أكاديمية
أعرض في EDS

Antidepressant Prescription Behavior Among Primary Care Clinician Providers After an Interprofessional Primary Care Psychiatric Training Program.

التفاصيل البيبلوغرافية
العنوان: Antidepressant Prescription Behavior Among Primary Care Clinician Providers After an Interprofessional Primary Care Psychiatric Training Program.
المؤلفون: Huo S; University of California Irvine, Program in Public Health, Irvine, CA, USA. Shutonh@hs.uci.edu., Bruckner TA; University of California Irvine, Program in Public Health, Irvine, CA, USA.; Public Health & Planning, Policy and Design, University of California, Irvine, CA, USA., Xiong GL; University of California, Davis, Psychiatry and Behavioral Sciences, Sacramento, CA, USA., Cooper E; University of California Irvine Department of Psychiatry and Human Behavior, Orange, CA, USA., Wade A; Inland Empire Health Plan, Rancho Cucamonga, CA, USA., Neikrug AB; University of California Irvine School of Medicine, Irvine, CA, USA., Gagliardi JP; Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA., McCarron R; University of California Irvine School of Medicine, Irvine, CA, USA.
المصدر: Administration and policy in mental health [Adm Policy Ment Health] 2023 Nov; Vol. 50 (6), pp. 926-935. Date of Electronic Publication: 2023 Aug 20.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Springer Country of Publication: United States NLM ID: 8914574 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-3289 (Electronic) Linking ISSN: 0894587X NLM ISO Abbreviation: Adm Policy Ment Health Subsets: MEDLINE
أسماء مطبوعة: Publication: 2006- : Secaucus, NJ : Springer
Original Publication: [New York, N.Y.] : Human Sciences Press, c1988-
مواضيع طبية MeSH: Primary Health Care* , Psychiatry*, Humans ; Antidepressive Agents/therapeutic use ; Prescriptions ; Cluster Analysis
مستخلص: Primary care providers (PCPs) are increasingly called upon to screen for and treat depression. However, PCPs often lack the training to diagnose and treat depression. We designed an innovative 12-month evidence and mentorship-based primary care psychiatric training program entitled the University of California, Irvine (UCI) School of Medicine Train New Trainers Primary Care Psychiatry (TNT PCP) Fellowship and examined whether this training impacted clinician prescription rates for antidepressants. We retrieved information on 18,844 patients and 192 PCPs from a publicly insured health program in Southern California receiving care between 2017 and 2021. Of the 192 PCPs, 42 received TNT training and 150 did not. We considered a patient as exposed to the provider's TNT treatment if they received care from a provider after the provider completed the 1-year fellowship. We utilized the number of antidepressant prescriptions per patient, per quarter-year as the dependent variable. Linear regression models controlled for provider characteristics and time trends. Robustness checks included clustering patients by provider identification. After PCPs completed TNT training, "exposed" patients received 0.154 more antidepressant prescriptions per quarter-year relative to expected levels (p < 0.01). Clustering of standard errors by provider characteristics reduced precision of the estimate (p < 0.10) but the direction and magnitude of the results were unchanged. Early results from the UCI TNT PCP Fellowship demonstrate enhanced antidepressant prescription behavior in PCPs who have undergone TNT training. A novel, and relatively low-cost, clinician training program holds the potential to empower PCPs to optimally deliver depression treatment.
(© 2023. The Author(s).)
References: BMJ. 2001 Mar 17;322(7287):654-7. (PMID: 11250852)
Prim Care Companion CNS Disord. 2014 Aug 28;16(4):. (PMID: 25664216)
Gen Hosp Psychiatry. 1993 Nov;15(6):399-408. (PMID: 8112564)
Pain Med. 2018 Jun 1;19(6):1140-1146. (PMID: 29036381)
Med Care. 1999 Apr;37(4 Suppl Lilly):AS20-3. (PMID: 10217389)
Ment Health Fam Med. 2010 Mar;7(1):17-25. (PMID: 22477919)
J Gen Intern Med. 2019 Dec;34(12):2842-2857. (PMID: 31485970)
Gen Hosp Psychiatry. 2006 May-Jun;28(3):189-94. (PMID: 16675361)
Health Aff (Millwood). 2016 Jul 1;35(7):1271-7. (PMID: 27385244)
J Contin Educ Health Prof. 2022 Apr 1;42(2):105-114. (PMID: 35439771)
Croat Med J. 2010 Jun;51(3):237-42. (PMID: 20564767)
JAMA. 2003 Jun 18;289(23):3145-51. (PMID: 12813120)
Psychosomatics. 2000 Sep-Oct;41(5):412-7. (PMID: 11015627)
J Psychopharmacol. 1999;13(2):136-43. (PMID: 10475718)
Lancet. 2003 Feb 22;361(9358):653-61. (PMID: 12606176)
Eur J Clin Pharmacol. 2009 Jul;65(7):715-20. (PMID: 19259654)
J Clin Psychiatry. 2009 Aug;70(8):1069-77. (PMID: 19758520)
Psychiatr Serv. 2018 Apr 1;69(4):366-369. (PMID: 29446334)
Clin Pediatr (Phila). 2013 Jun;52(6):557-67. (PMID: 23572448)
Psychiatr Serv. 2015 Jun;66(6):578-84. (PMID: 25726980)
Arch Psychiatr Nurs. 2019 Oct;33(5):63-67. (PMID: 31711596)
J Gen Intern Med. 2001 Sep;16(9):614-9. (PMID: 11556942)
J Gen Intern Med. 2022 May;37(7):1641-1647. (PMID: 34993864)
Acta Psychiatr Scand. 2001 Mar;103(3):238-9. (PMID: 11240584)
Lancet Psychiatry. 2022 Feb;9(2):137-150. (PMID: 35026139)
Prim Care Companion CNS Disord. 2022 Feb 3;24(1):. (PMID: 35114740)
J Gen Intern Med. 2012 Aug;27(8):945-52. (PMID: 22370766)
Lancet. 2018 Nov 10;392(10159):1789-1858. (PMID: 30496104)
J Clin Psychiatry. 2007 Jun;68(6):867-73. (PMID: 17592910)
J Health Polit Policy Law. 2016 Aug;41(4):559-83. (PMID: 27127264)
Acad Psychiatry. 2023 Aug;47(4):416-421. (PMID: 36258083)
Psychol Med. 2013 Aug;43(8):1569-85. (PMID: 22883473)
Br J Psychiatry. 2017 Feb;210(2):119-124. (PMID: 27908899)
Am J Psychiatry. 2000 Apr;157(4 Suppl):1-45. (PMID: 10767867)
Psychiatr Serv. 2018 Jun 1;69(6):710-713. (PMID: 29540118)
Obstet Gynecol. 2003 May;101(5 Pt 1):892-8. (PMID: 12738146)
Am J Prev Med. 2022 Nov;63(5):726-733. (PMID: 36272761)
Am J Psychiatry. 2001 Oct;158(10):1579-86. (PMID: 11578983)
CNS Drugs. 2008;22(11):963-73. (PMID: 18840035)
Acad Psychiatry. 2017 Apr;41(2):202-206. (PMID: 28205068)
Acta Psychiatr Scand. 2006 Sep;114(3):159-67. (PMID: 16889586)
J Am Board Fam Med. 2011 Jan-Feb;24(1):33-8. (PMID: 21209342)
J Psychosom Res. 2002 Oct;53(4):849-57. (PMID: 12377293)
Arch Gen Psychiatry. 2007 Aug;64(8):914-20. (PMID: 17679636)
Am J Public Health. 2005 Jun;95(6):998-1000. (PMID: 15914823)
BMC Health Serv Res. 2022 Nov 29;22(1):1440. (PMID: 36447260)
فهرسة مساهمة: Keywords: Antidepressant; Depression; Medical education; Primary care; Psychiatry
المشرفين على المادة: 0 (Antidepressive Agents)
تواريخ الأحداث: Date Created: 20230820 Date Completed: 20231002 Latest Revision: 20231004
رمز التحديث: 20231004
مُعرف محوري في PubMed: PMC10543424
DOI: 10.1007/s10488-023-01290-x
PMID: 37598371
قاعدة البيانات: MEDLINE
الوصف
تدمد:1573-3289
DOI:10.1007/s10488-023-01290-x