Full Citation
Title: Effects of electronic psychiatric consultations on primary care provider perceptions of mental health care: Survey results from a randomized evaluation.
Citation Type: Journal Article
Publication Year: 2018
ISBN:
ISSN: 2213-0772
DOI: 10.1016/j.hjdsi.2017.01.002
NSFID:
PMCID:
PMID: 28162990
Abstract: BACKGROUND Primary care is the main point-of-entry for identifying and treating mental health problems. This research examines the effect of a new model of supporting primary care providers (PCPs) treating mental health disorders, the electronic consultation (eConsults), a standard process for communication between PCPs and psychiatrists through an electronic health records system. METHODS A cluster-randomized evaluation of the psychiatric eConsults model, as implemented in a large integrated delivery system. Web survey data before and after the implementation of psychiatric eConsults were collected on PCPs' perceptions of their capability and skill to deliver mental health services, and analyzed with linear regression models. RESULTS At baseline PCPs had mixed assessments of perceived support for delivering mental health services and of the availability of specialist consultations, but had relatively high perceived self-efficacy and skill for identifying, diagnosing and treating depression. PCPs in the Treatment group had statistically significant 18%, 13%, and 16% improvements in perceived support for diagnosing mental health problems, making treatment decisions, and changing treatment regimens, respectively; and 24% improved perceived ease of access to consultations for mental health, compared to the Control group. Evidence of effects on self-efficacy and perceived skill around depression was more limited. CONCLUSIONS The psychiatric eConsults model improved PCPs' perceptions of support for delivering mental health care and perceptions of access to specialist consultations. IMPLICATIONS Electronic consultations may be a promising approach to support the delivery of mental health services in primary care settings. LEVEL OF EVIDENCE Pre- and post-intervention web surveys from a cluster-randomized trial.
Url: http://www.ncbi.nlm.nih.gov/pubmed/28162990
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Authors: Golberstein, Ezra; Kolvenbach, Sarah; Carruthers, Hilary; Druss, Benjamin G.; Goering, Paul
Periodical (Full): Healthcare (Amsterdam, Netherlands)
Issue: 1
Volume: 6
Pages: 17-22
Countries: