title: The effects of patient-centered depression care on patient satisfaction and depression remission.
abstract: While health systems are striving for patient-centered care, they have little evidence to guide them on how to engage patients in their care, or how this may affect patient experiences and outcomes.
  
  
  
  To explore which specific patient-centered aspects of care were best associated with depression improvement and care satisfaction.
  
  
  
  Design: observational.
  
  
  
  83 primary care clinics across Minnesota.
  
  
  
  Primary care patients with new prescriptions for antidepressants for depression were recruited from 2007 to 2009.
  
  
  
  Patients completed phone surveys regarding demographics and self-rated health status and depression severity at baseline and 6 months. Patient centeredness was assessed via a modified version of the Patient Assessment of Chronic Illness Care. Differences in rates of remission and satisfaction between positive and negative responses for each care process were evaluated using chi-square tests.
  
  
  
  At 6 months, 37% of 792 patients ages 18-88 achieved depression remission, and 79% rated their care as good-to-excellent. Soliciting patient preferences for care and questions or concerns, providing treatment plans, utilizing depression scales and asking about suicide risk were patient-centered measures that were positively associated with depression remission in the unadjusted model; these associations were mildly weakened after adjustment for depression severity and health status. Nearly all measures of patient centeredness were positively associated with care ratings.
  
  
  
  The patient centeredness of care influences how patients experience and rate their care. This study identified specific actions providers can take to improve patient satisfaction and depression outcomes.
authors.affiliation: HealthPartners Institute, Minneapolis, MN, USA rebecca.c.rossom@healthpartners.com.
authors.forename: Rebecca C
authors.initials: RC
authors.lastname: Rossom
authors.affiliation: HealthPartners Institute, Minneapolis, MN, USA.
authors.forename: Leif I
authors.initials: LI
authors.lastname: Solberg
authors.affiliation: HealthPartners Institute, Minneapolis, MN, USA.
authors.forename: Gabriela
authors.initials: G
authors.lastname: Vazquez-Benitez
authors.affiliation: HealthPartners Institute, Minneapolis, MN, USA.
authors.forename: A Lauren
authors.initials: AL
authors.lastname: Crain
authors.affiliation: Institute for Health Research, Kaiser Permanente Colorado, Denver, CO, USA.
authors.forename: Arne
authors.initials: A
authors.lastname: Beck
authors.affiliation: School of Social Work, University of St. Thomas, St. Paul, MN, USA.
authors.forename: Robin
authors.initials: R
authors.lastname: Whitebird
authors.affiliation: University of Colorado School of Medicine, Denver, CO, USA.
authors.forename: Russell E
authors.initials: RE
authors.lastname: Glasgow
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000928:Antidepressive Agents / Q000627:therapeutic use; D003863:Depression / Q000188:drug therapy*; D006304:Health Status; D006801:Humans; D008875:Middle Aged; D010347:Patient Care Planning; D010358:Patient Participation; D057240:Patient Preference; D017060:Patient Satisfaction; D018802:Patient-Centered Care; D011320:Primary Health Care / Q000592:standards*; D011569:Psychiatric Status Rating Scales; D012008:Recurrence; D012720:Severity of Illness Index; D059020:Suicidal Ideation; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D000928:Antidepressive Agents
keywords: Anti-depressive agents; depression; patient care management.; patient satisfaction; patient-centered care; primary health care