Vis enkel innførsel

dc.contributor.authorGidding, Luc G
dc.contributor.authorSpigt, Marcus
dc.contributor.authorDinant, Geert-Jan
dc.contributor.authorSpigt
dc.date.accessioned2018-07-23T12:15:01Z
dc.date.available2018-07-23T12:15:01Z
dc.date.issued2017-09-15
dc.description.abstract<p><i>Background</i>: Recognizing patients with psychological problems can be difficult for general practitioners (GPs). Use of information collected in electronic medical records (EMR) could facilitate recognition.</p> <p><i>Objectives</i>: To assess relevant EMR parameters in the decade before patients present with psychological problems.</p> <p><i>Methods</i>: Exploratory case-control study assessing EMR parameters of 58 228 patients recorded between 2013 and 2015 by 54 GPs. We compared EMR parameters recorded before 2014 of patients who presented with psychological problems in 2014 with those who did not.</p> <p><i>Results</i>: In 2014, 2406 patients presented with psychological problems. Logistic regression analyses indicated that having registrations of the following statistically significant parameters increased the chances of presenting with psychological problems in 2014: prior administration of a depression severity questionnaire (odds ratio (OR): 3.3); fatigue/sleeping (OR: 1.6), neurological (OR: 1.5), rheumatic (OR: 1.5) and substance abuse problems (OR: 1.5); prescriptions of opioids (OR: 1.3), antimigraine preparations (OR: 1.5), antipsychotics (OR: 1.7), anxiolytics (OR: 1.4), hypnotics and sedatives (OR: 1.4), antidepressants (OR: 1.7), and antidementia drugs (OR: 2.1); treatment with minimal interventions (OR: 2.2) and physical exercise (OR: 3.3), referrals to psychology (OR: 1.5), psychiatry (OR: 1.6), and psychosocial care (OR: 2.1); double consultations (OR: 1.2), telephone consultations (OR: 1.1), and home visits (OR: 1.1).</p> <p><i>Conclusion</i>: This study demonstrates that possible indications of psychological problems can be identified in EMR. Many EMR parameters of patients presenting with psychological problems were different compared with patients who did not.en_US
dc.descriptionSource at <a href=https://doi.org/10.1080/13814788.2017.1359536> https://doi.org/10.1080/13814788.2017.1359536</a>.en_US
dc.identifier.citationGidding, L.G., Spigt, M. & Dinant, G. (2017). Patients with psychological ICPC codes in primary care; a case-control study investigating the decade before presenting with problems. European Journal of General Practice, 23(1), 217-224. https://doi.org/10.1080/13814788.2017.1359536en_US
dc.identifier.cristinIDFRIDAID 1552467
dc.identifier.doi10.1080/13814788.2017.1359536
dc.identifier.issn1381-4788
dc.identifier.issn1751-1402
dc.identifier.urihttps://hdl.handle.net/10037/13247
dc.language.isoengen_US
dc.publisherTaylor & Francis (Routledge)en_US
dc.relation.journalEuropean Journal of General Practice
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Samfunnsvitenskap: 200::Psykologi: 260en_US
dc.subjectVDP::Social science: 200::Psychology: 260en_US
dc.subjectPsychological problemsen_US
dc.subjectepidemiologyen_US
dc.subjectcase-control designsen_US
dc.subjectanxietyen_US
dc.subjectdepressionen_US
dc.subjectsomatizationen_US
dc.subjectsurmenageen_US
dc.subjectsleepen_US
dc.titlePatients with psychological ICPC codes in primary care; a case-control study investigating the decade before presenting with problemsen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


Tilhørende fil(er)

Thumbnail

Denne innførselen finnes i følgende samling(er)

Vis enkel innførsel