Prevalence and Frequency of Mental Health Care Provided by General Practitioners: Differences between 2 National Data Sources for the Same Population

Palin, JoAnne; Goldner, Elliot M.; Koehoorn, Mieke; Hertzman, Clyde

doi:10.1177/070674371205700606

Cited by 11 publications

(17 citation statements)

References 21 publications

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“…That 20% of patients had a documented mental disorder is consistent with other work involving adm inistrative data, which estimated 19% of patients attending GPs in Canada did so for the care of mental health issues (Palin et al, 2012). However, our estimate is considerably lower than that reported in studies which involved standardised screening measures.…”

Section: Holy This Relates To Other Researchsupporting

confidence: 89%

Using electronic medical records to determine prevalence and treatment of mental disorders in primary care: a database study

Gleeson

Hannigan

Jamali

et al. 2015

Ir. j. psychol. Med.

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Objectives: With prevention and treatment of mental disorders a challenge for primary care and increasing capability of electronic medical records (EMRs) to facilitate research in practice, we aim to determine the prevalence and treatment of mental disorders by using routinely collected clinical data contained in EMRs.Methods: We reviewed EMRs of patients randomly sampled from seven general practices, by piloting a study instrument and extracting data on mental disorders and their treatment.Reslllts: Data were collected on 690 patients (age range 18-95, 52% male, 52% GMS-eligible). A mental disorder (most commonly anxiety I stress, depression and problem alcohol use) was recorded in the clinical records of 139 (20%) during the two year study period. While most patients with the common disorders had been prescribed medication (I.e. antidepressants or benzodiazepines), a minority had been referred to other agencies or received psychological interventions. 'Free text' consultation notes and 'prescriptions' were how most patients with disorders were identified.Diagnostic coding alone would have failed to identify 92% of patients with a disorder.Conclllsions: Although mental disorders are common in general practice, this study suggests their formal diagnosis, disease coding and access to psychological treatments are priorities for future research efforts.

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Section: Holy This Relates To Other Researchsupporting

confidence: 89%

Using electronic medical records to determine prevalence and treatment of mental disorders in primary care: a database study

Gleeson

Hannigan

Jamali

et al. 2015

Ir. j. psychol. Med.

View full text Add to dashboard Cite

show abstract

“…Contextualizing prevalence estimates obtained from either survey or administrative databases is an important component of meaningful comparison and synthesis (11). The goal of our prevalence estimation was to compare diagnosed prevalence estimates from both survey and administrative data, which involves estimating the number of people in the population who meet the criteria for a diagnosis of a mood or anxiety disorder (23,25,34,38). There is currently no gold standard measure of diagnosed mood and anxiety disorders in the population.…”

Section: Discussionmentioning

confidence: 99%

“…Accurate population-based prevalence estimates are important as they directly inform health service planning and resource allocation (24). While available evidence from linked survey and administrative databases suggest there is high discordance for mental health service use, there is currently no available estimates of the concordance of diagnosed mental disorders in Canada (25). This comparison has important implications for our understanding of the burden of mental illness in the population.…”

Section: Introductionmentioning

confidence: 99%

Concordance between health administrative data and survey‐derived diagnoses for mood and anxiety disorders

Edwards

Thind

Stranges

et al. 2020

Acta Psychiatr Scand

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Objective To assess whether estimates of survey structured interview diagnoses of mood and anxiety disorders were concordant with diagnoses of these disorders obtained from health administrative data. Methods All Ontario respondents to the 2012 Canadian Community Health Survey‐Mental Health (CCHS‐MH) were linked to health administrative databases at ICES (formerly known as the Institute for Clinical Evaluative Sciences). Survey structured interview diagnoses were compared with health administrative data diagnoses obtained using a standardized algorithm. We used modified Poisson regression analyses to assess whether socio‐demographic factors were associated with concordance between the two measures. Results Of the 4157 Ontarians included in our sample, 20.4% had either a structured interview diagnosis (13.9%) or health administrative diagnosis (10.4%) of a mood or anxiety disorder. There was high discordance between measures, with only 19.4% agreement. Migrant status, age, employment, and income were associated with discordance between measures. Conclusions Our findings indicate that previous estimates of the 12‐month prevalence of mood and anxiety disorders in Ontario may be underestimating the true prevalence, and that population‐based surveys and health administrative data may be capturing different groups of people. Understanding the limitations of data commonly used in epidemiologic studies is a key foundation for improving population‐based estimates of mental disorders.

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“…A Canadian study found that seniors were most likely to go to their general practitioner for psychological issues (Hardy, Kelly & Voaklander, 2001). Palin, Goldner, Koehoom and Hertzmann (2012) argued that general practitioners are "The main, or often the only, source of mental health care for most Canadians, and are typically the gatekeepers to specialty medical care" (p. 367).…”

Section: Methodological Issuesmentioning

confidence: 99%

“…There may be modifications that could be made to the criteria that would increase their sensitivity/specificity. Palin et al (2012) conducted a study comparing mental health codes found in British…”

Section: Tbi In the Elderly 75mentioning

confidence: 99%

Brain injury in seniors in British Columbia: Its relationship to depression and chronic pain.

Montbriand¹

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Prevalence and Frequency of Mental Health Care Provided by General Practitioners: Differences between 2 National Data Sources for the Same Population

Abstract: GPs saw more than twice as many patients for mental health issues according to administrative data, compared with survey data; however, the number of visits per patient was higher in survey data.

Cited by 11 publications

References 21 publications

Using electronic medical records to determine prevalence and treatment of mental disorders in primary care: a database study

Using electronic medical records to determine prevalence and treatment of mental disorders in primary care: a database study

Concordance between health administrative data and survey‐derived diagnoses for mood and anxiety disorders

Brain injury in seniors in British Columbia: Its relationship to depression and chronic pain.

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