Erratum to: A qualitative study of perceived needs and factors associated with the quality of care for common mental disorders in patients with chronic diseases: the perspective of primary care clinicians and patients

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Abstract

Erratum In our article [1] we omitted to include the credit line for Figure 1 in the legend. The credit line is as follows: “Reproduced with permission from National Institute for Health and Care Excellence (formerly the National Institute for Health and Clinical Excellence) (2011) CG123 Common mental health problems: identification and pathways to care. Manchester: NICE. Available from https://www.nice.org.uk/guidance/cg123”.

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A qualitative study of perceived needs and factors associated with the quality of care for common mental disorders in patients with chronic diseases: the perspective of primary care clinicians and patients

Pasquale Roberge, Catherine Hudon, Alan Pavilanis … (2016)

Background The prevalence of comorbid anxiety and depressive disorders is high among patients with chronic diseases in primary care, and is associated with increased morbidity and mortality rates. The detection and treatment of common mental disorders in patients with chronic diseases can be challenging in the primary care setting. This study aims to explore the perceived needs, barriers and facilitators for the delivery of mental health care for patients with coexisting common mental disorders and chronic diseases in primary care from the clinician and patient perspectives. Methods In this qualitative descriptive study, we conducted semi-structured interviews with clinicians (family physician, nurse, psychologist, social worker; n = 18) and patients (n = 10) from three primary care clinics in Quebec, Canada. The themes explored included clinician factors (e.g., attitudes, perception of roles, collaboration, management of clinical priorities) and patient factors (e.g., needs, preferences, access to care, communication with health professionals) associated with the delivery of care. Qualitative data analysis was conducted based on an interactive cyclical process of data reduction, data display and conclusion drawing and verification. Results Clinician interviews highlighted a number of needs, barriers and enablers in the provision of patient services, which related to inter-professional collaboration, access to psychotherapy, polypharmacy as well as communication and coordination of services within the primary care clinic and the local network. Two specific facilitators associated with optimal mental health care were the broadening of nurses’ functions in mental health care and the active integration of consulting psychiatrists. Patients corroborated the issues raised by the clinicians, particularly in the domains of whole-person care, service accessibility and care management. Conclusions The results of this project will contribute to the development of quality improvement interventions to increase the uptake of organizational and clinical evidence-based practices for patients with chronic diseases and concurrent common mental disorders, in priority areas including collaborative care, access to psychotherapy and linkages with specialized mental health care. Electronic supplementary material The online version of this article (doi:10.1186/s12875-016-0531-y) contains supplementary material, which is available to authorized users.

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Author and article information

Contributors

Pasquale Roberge: Pasquale.Roberge@USherbrooke.ca

Journal

Journal ID (nlm-ta): BMC Fam Pract

Journal ID (iso-abbrev): BMC Fam Pract

Title: BMC Family Practice

Publisher: BioMed Central (London )

ISSN (Electronic): 1471-2296

Publication date (Electronic): 30 December 2016

Publication date PMC-release: 30 December 2016

Publication date Collection: 2016

Volume: 17

Electronic Location Identifier: 174

Affiliations

[1 ]Department of Family Medicine and Emergency Medicine, Université de Sherbrooke, 3001, 12th Avenue North, Sherbrooke, QC Canada

[2 ]St. Mary’s Hospital Center, 3830 Lacombe Avenue, Montreal, QC Canada

[3 ]CISSS de la Montérégie-Est, 90 Sainte-Foy Boulevard, Longueuil, QC Canada

[4 ]Université de Sherbrooke, UMF Chicoutimi, 305, St-Vallier, Chicoutimi, QC Canada

[5 ]Université du Québec à Chicoutimi, 555, Boulevard de l’Université, Chicoutimi, QC Canada

[6 ]Université de Sherbrooke - Campus de la santé, Groupe de recherche PRIMUS, 3001, 12e avenue nord, Sherbrooke, QC J1H 5N4 Canada

Article

Publisher ID: 564

DOI: 10.1186/s12875-016-0564-2

PMC ID: 5203705

PubMed ID: 28038670

SO-VID: dd4a1fc0-af22-4d18-a9a3-f1f99cf66b8e

License:

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

History

Date received : 14 November 2016

Date accepted : 18 November 2016

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ScienceOpen disciplines: Medicine

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