Abstract

PEREZ-IBANEZ, Olga et al. Program support to primary: a descriptive analysis and diagnostic concordance between primary care physician and psychologist. Rev. Asoc. Esp. Neuropsiq. [online]. 2015, vol.35, n.126, pp.257-266. ISSN 2340-2733.  https://dx.doi.org/10.4321/S0211-57352015000200002.

Background: The objective is to describe characteristics of Program Support to Primary(PSP) and analyze diagnostic concordance between Primary Care Physicians(PCP) and psychologists. Method: A descriptive, longitudinal study conducted in 2010 in 7 Barcelona's primary care centers. The sample of 769 patients referred to psychology(referral form issued by doctors). Descriptive statistics, Cohen's kappa and percentage agreement were used to analyze demographic variables, to assess agreement. Results: The average waiting time between referral and first visit is 28 days. Mean interventions per patient is 3 visits. 27% of patients are discharged, 20% drop. It is a low overall concordance between PCP and psychologist, the most common diagnosis made by the PCP is anxiety disorder.Psychologists diagnosed with the same frequency anxiety disorders (21%), depression (20.2 %) and adaptive disorders (19.6 %). Conclusions: PSP offers brief and specialized interventions in Primary Care.Low concordance indicates a need to increase opportunities for communication between professionals through tools such as consultation.

Keywords : Mental Health; Primary Care; Psychologist; Diagnostic concordance; Physician of Primary Care.

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