Collaborative care; Major depressive disorder; Primary care; General Practice; Mental health services; Qualitative study
Abstract :
[en] Although current guidelines recommend collaborative care for severely depressed patients, few patients get adequate treatment. In this study we aimed to identify the thresholds for interdisciplinary collaboration amongst practitioners when treating severely depressed patients. In addition, we aimed to identify specific and feasible steps that may add to improved collaboration amongst first and second level Belgian health care providers when treating depressed patients. In two standard focus groups (n = 8; n = 12), general practitioners and psychiatrists first outlined current practice and its shortcomings. In a next phase, the same participants were gathered in nominal groups to identify and prioritise steps that could give rise to improved collaboration. Thematic analyses were performed. Though some barriers for interdisciplinary collaboration may seem easy to overcome, participants stressed the importance of certain boundary conditions on a macro- (e.g., financing of care, secure communication technology) and meso-level (e.g., support for first level practitioner). Findings are discussed against the background of frameworks on collaboration in healthcare and recent developments in mental health care.
Research center :
Unité de recherche Soins primaires et Santé
Disciplines :
Human health sciences: Multidisciplinary, general & others Psychiatry General & internal medicine
Author, co-author :
Van den Broeck, Kris; Universiteit Antwerpen - UA > Collaborative Antwerp Psychiatric Research Institute
Ketterer, Frédéric ; Université de Liège > Faculté des sciences sociales > Sociologie des ress. hum. et des systèmes institutionnels
Remmen, Roy; Universiteit Antwerpen - UA > General Practice, Department of Primary and Interdisciplinary Care
Vanmeerbeek, Marc ; Université de Liège > Département des sciences cliniques > Médecine générale
Destoop, Marianne; Universiteit Antwerpen - UA > Collaborative Antwerp Psychiatric Research Institute
Dom, Geert; Universiteit Antwerpen - UA > Collaborative Antwerp Psychiatric Research Institute
Language :
English
Title :
Why Collaborative Care for Depressed Patients is so Difficult: A Belgian Qualitative Study
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