Veterans with depression in primary care: Provider preferences, matching, and care satisfaction

Thomas J. Waltz, Duncan G. Campbell, Jo Ann E. Kirchner, Anayansi Lombardero, Cory Bolkan, Kara Zivin, Andrew B. Lanto, Edmund F. Chaney, Lisa V. Rubenstein

Research output: Contribution to journalArticlepeer-review

Abstract

Primary care is often the first point of care for individuals with depression. Depressed patients often have comorbid alcohol use disorder (AUD) and posttraumatic stress disorder (PTSD). Understanding variations in treatment preferences and care satisfac-tion in this population can improve care planning and outcomes. The design involved a cross-sectional comparison of veterans screening positive for depression. Veterans receiving primary care during the previous year were contacted (n = 10, 929) and were screened for depression using the PHQ-2/PHQ-9. Those with probable depression (n = 761) underwent a comprehensive assessment including screens for AUD and PTSD, treatment provider preferences, treatments received, and satisfaction with care. Treatment provider preferences differed based on specific mental health comorbidities, and satisfaction with care was associated with receipt of preferred care. Depressed veterans with comorbid PTSD were more likely to prefer care from more than one provider type (e.g., a psychiatrist and a primary care provider) and were more likely to receive treatment that matched their preferences than veterans without comorbid PTSD. Veterans receiving full or partial treatment matches affirmed satisfaction with care at higher rates, and veterans with comorbid PTSD were least satisfied when care did not match their preferences. Patient satisfaction with care is an increasingly important focus for health care systems. This study found significant variations in depressed patients' satisfaction with care in terms of treatment matching, particularly among those with comorbid PTSD. Delivery of care that matches patient treatment preferences is likely to improve depressed patient's satisfaction with the care provided.

Original languageEnglish
Pages (from-to)367-377
Number of pages11
JournalFamilies, Systems and Health
Volume32
Issue number4
DOIs
StatePublished - Dec 1 2014

Keywords

  • Care satisfaction
  • Patient centered care
  • Primary care mental health
  • Treatment matching
  • Treatment preference

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