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Patients with psychological ICPC codes in primary care; a case-control study investigating the decade before presenting with problems

Background: Recognizing patients with psychological problems can be difficult for general practitioners (GPs). Use of information collected in electronic medical records (EMR) could facilitate recognition. Objectives: To assess relevant EMR parameters in the decade before patients present with psych...

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Autores principales: Gidding, Luc G., Spigt, Mark G., Dinant, Geert-Jan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5774286/
https://www.ncbi.nlm.nih.gov/pubmed/28914563
http://dx.doi.org/10.1080/13814788.2017.1359536
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author Gidding, Luc G.
Spigt, Mark G.
Dinant, Geert-Jan
author_facet Gidding, Luc G.
Spigt, Mark G.
Dinant, Geert-Jan
author_sort Gidding, Luc G.
collection PubMed
description Background: Recognizing patients with psychological problems can be difficult for general practitioners (GPs). Use of information collected in electronic medical records (EMR) could facilitate recognition. Objectives: To assess relevant EMR parameters in the decade before patients present with psychological problems. Methods: 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. Results: 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). Conclusion: 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.
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spelling pubmed-57742862018-02-28 Patients with psychological ICPC codes in primary care; a case-control study investigating the decade before presenting with problems Gidding, Luc G. Spigt, Mark G. Dinant, Geert-Jan Eur J Gen Pract Original Article Background: Recognizing patients with psychological problems can be difficult for general practitioners (GPs). Use of information collected in electronic medical records (EMR) could facilitate recognition. Objectives: To assess relevant EMR parameters in the decade before patients present with psychological problems. Methods: 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. Results: 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). Conclusion: 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. Taylor & Francis 2017-09-15 /pmc/articles/PMC5774286/ /pubmed/28914563 http://dx.doi.org/10.1080/13814788.2017.1359536 Text en © 2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Gidding, Luc G.
Spigt, Mark G.
Dinant, Geert-Jan
Patients with psychological ICPC codes in primary care; a case-control study investigating the decade before presenting with problems
title Patients with psychological ICPC codes in primary care; a case-control study investigating the decade before presenting with problems
title_full Patients with psychological ICPC codes in primary care; a case-control study investigating the decade before presenting with problems
title_fullStr Patients with psychological ICPC codes in primary care; a case-control study investigating the decade before presenting with problems
title_full_unstemmed Patients with psychological ICPC codes in primary care; a case-control study investigating the decade before presenting with problems
title_short Patients with psychological ICPC codes in primary care; a case-control study investigating the decade before presenting with problems
title_sort patients with psychological icpc codes in primary care; a case-control study investigating the decade before presenting with problems
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5774286/
https://www.ncbi.nlm.nih.gov/pubmed/28914563
http://dx.doi.org/10.1080/13814788.2017.1359536
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