Depression of elderly outpatients - Primary care physicians' attitudes and practice patterns

Christopher Callahan, Nancy A. Nienaber, Hugh Hendrie, William M. Tierney

Research output: Contribution to journalArticle

68 Citations (Scopus)

Abstract

Objective:To determine primary care physicians' attitudes and practice patterns concerning the diagnosis and treatment of depression in elderly outpatients. Design:Survey of primary care physicians' attitudes using a 22-item questionnaire. Current practice patterns were identified from a computerized medical record system. Setting:Academic primary care group practice at an urban ambulatory care clinic. Patients/participants:Thirty-five faculty general internists and 118 resident internal medicine physicians who had cared for 2,759 patients 65 years of age and older in the previous year. Measurements and main results:Attitudes: Eighty percent of all physicians considered the diagnosis and treatment of depressed elderly patients to be their responsibility. Fifty-five percent of the internists felt confident in accurately diagnosing depression, and 35% felt confident in prescribing antidepressants for this population. Residents reported more difficulties in dealing with depressed elderly patients than did faculty. Practice patterns: Of patients ≥ 65 years old, 8% were prescribed antidepressants, 5.4% had current diagnoses of depression, and 2% were seen for evaluation by psychiatry professionals. Age was negatively correlated with depression diagnosis, antidepressant drug use, and psychiatry evaluation. Conclusions:Internists in this primary care group practice accept responsibility for the treatment of depressed elderly patients but perceive their clinical skills as inadequate and are frustrated with their practice environment. Interventions aimed at improving the diagnosis and treatment of depressed elderly patients may be more effective if they are able to improve knowledge, attitudes, and the practice environment.

Original languageEnglish
Pages (from-to)26-31
Number of pages6
JournalJournal of General Internal Medicine
Volume7
Issue number1
DOIs
StatePublished - Jan 1992

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Physicians' Practice Patterns
Primary Care Physicians
Ambulatory Care
Depression
Antidepressive Agents
Group Practice
Psychiatry
Primary Health Care
Computerized Medical Records Systems
Physicians
Health Knowledge, Attitudes, Practice
Clinical Competence
Therapeutics
Internal Medicine
Outpatients

Keywords

  • depression
  • elderly
  • outpatients
  • practice patterns
  • primary care physicians
  • satisfaction

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Depression of elderly outpatients - Primary care physicians' attitudes and practice patterns. / Callahan, Christopher; Nienaber, Nancy A.; Hendrie, Hugh; Tierney, William M.

In: Journal of General Internal Medicine, Vol. 7, No. 1, 01.1992, p. 26-31.

Research output: Contribution to journalArticle

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