Table 3.
Results of the self-assessment questionnaire for GPs on eleven indicators of optimal care
| GP 1 | GP 2 | GP 3 | GP 4 | GP5 | GP 6 | |
|---|---|---|---|---|---|---|
|
Organisational preconditions for optimal depression care available$ |
No |
No |
No |
Yes |
Yes |
Yes |
|
1.1 Use of a screening instrument in patients who are suspected of having a depression |
Yes* |
Yes |
No* |
Yes |
No |
Yes |
| |
25-50%# |
1-25% |
0% |
75-100% |
0% |
50-75% |
|
2.1 Providing self-management and/or e-health interventions to patients with depressive complaints or a mild depression. |
Yes |
Yes |
No |
Yes |
No |
Yes |
| |
1-25% |
75-100% |
0% |
25-50% |
0% |
25-50% |
|
3.1 Measurement of the severity of the depression prior to possible treatment |
Yes |
No |
No |
No |
No |
Yes |
| |
1-25% |
0% |
0% |
0% |
0% |
50-75% |
|
3.2 Providing educational material to patients with depression |
Yes |
Yes |
No |
Yes |
Yes |
Yes |
| |
75-100% |
1-25% |
0% |
1-25% |
1-25% |
25-50% |
|
3.3 Providing first step and brief interventions to patients with a mild depression |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
| |
50-75% |
75-100% |
25-50% |
75-100% |
25-50% |
50-75% |
|
3.4 Providing psychotherapy and/or pharmacotherapy to patients with a moderate to severe major depressive disorder or a recurrent depression |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
| |
50-75% |
75-100% |
75-100% |
50-75% |
25-50% |
75-100% |
|
3.5 Systematically monitoring changes in the severity of the depression with a validated instrument |
No |
No |
No |
No |
No |
yes |
| |
0% |
0% |
0% |
0% |
0% |
25-50% |
|
4.1 Making collaborative care agreements when multiple health care providers are involved in the treatment of a patient with a (severe or prolonged) depression (“who does what”) |
Yes |
No |
No |
Yes |
Yes |
No |
| |
25-50% |
0% |
0% |
? |
25-50% |
0% |
|
4.2 Making agreements about referral of patients from secondary mental health care to primary care |
No |
No |
No |
No |
No |
Yes |
|
5.1 Providing relapse prevention |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
| |
25-50% |
75-100% |
75-100% |
? |
25-50% |
1-25% |
|
5.2 Providing ongoing counselling to patients with chronic depression (who are referred back from secondary care) |
No |
No |
No |
Yes |
No |
No |
| 0% | 0% | 0% | 50-75% | 0% | 0% |
*yes/no = GPs indicated whether or not they delivered specific care.
#% = which proportion of patients within the target population received that specific care (? = does not know).
$These preconditions were 1. having an MHN or a psychiatric nurse assisting the GP, and 2. having a multidisciplinary team working on-site, with whom the GP can collaborate in the mental health care for patients.