دورية أكاديمية
Antidepressant Prescription Behavior Among Primary Care Clinician Providers After an Interprofessional Primary Care Psychiatric Training Program.
العنوان: | Antidepressant Prescription Behavior Among Primary Care Clinician Providers After an Interprofessional Primary Care Psychiatric Training Program. |
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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).) |
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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 |
تدمد: | 1573-3289 |
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DOI: | 10.1007/s10488-023-01290-x |