Póster presentado por Lilisbeth Perestelo en el congreso Summer Institute for Informed Patient Choice (SIIPC14) celebrado del 25 al 27 de junio de 2014 en Dartmouth, Hanover (EEUU). Web: http://siipc.org Contacto: lperperr@gobiernodecanarias.org

1. The evaluation of health care quality from the patient with
depression perspective: a qualitative study
Ms Analía Abt Sacks1,2, PhD Lina Masana3,4, Ms Martín Romero3, PhD Pedro Serrano-Pérez 3,5, PhD Jorge Barraca6, PhD Lilisbeth, Perestelo-Pérez2,3
BACKGROUND
Although depression is one of the most important mental disorders,
a large number of patients are under diagnosed or not treated
properly. Among the reasons justifying this fact are the difficulties
presented by non- psychiatrists professionals to recognize the
problem, the shortage of mental health professionals and problems
with the operation of the therapeutic itinerary.
DISCUSSION
The review of patients allows us to identify deficiencies in the public
health system that can be improved. Qualitative analysis allows us
to conclude that the need for an attention centered in the person
and the time available are the two main deficiencies perceived by
patients in both specialized and primary care attention.
AIM
The aim of this study is to analyze the perception and evaluation of
the care provided during the illness, as experienced by patients with
a diagnosis of depressive disorder in Spain.
METHODS AND MATERIAL
RESULTS
Need and deficieny in the Health Service:
• Therapeutic itinenary: the shortage of mental health (MH)
professionals, problems with derivation to MH devices
(psychologist or psychiatrist), excessive delay to start medical
monitoring or between meetings, the high cost of private care and
the entry in emergency as option of care, specially in critical
situations.
• Humans resources: The need for more specialized training for
general practitioners, the absence generally of psychologists in
the primary care and the MH services, differences in urban and
rural services.
• Quality care: prevalence of pharmacotherapy versus
psychotherapy, litle information about the disease, the short time
for consultation, the overload working professionals and sudden
personnel changes, and care received.
IMPLICATIONS
The multidisciplinary approach to patients with depression, in which
the care of the patient is handled by different specialists
(psychologists, psychiatrists, general practitioners), the
implementation of a shared decision making model, along with the
use of patient decision aids (PDAs) could all be efficient and
effective strategies to favour patient centered care as well as to
improve the relationship between professionals and patients.
REFERENCES
•Codony, M, Alonso, J, Almansa, J, Bernert, S et al. Perceived neeed for Mental Health Care and Service Use among adults in Western Europe: Results of the ESEMeD Project. Psychiatric Services. 2009; 60 (8):1051- 58.
•Fernández, A, Haro, JM, Codony, M, Gemma Vilagut et al. Treatment adequacy of anxiety and depressive disorders: Primary versus specialised care in Spain. Journal of Affective Disorders. 2006; 96: 9-20.
•NICE, 2010). Ref. NICE – National Institute for Clinical Excellence (2010). Depression: Management of Depression in Primary and Secondary Care — NICE Guidance. London, UK: The British Psychology Society & The Royal College of Psychiatrists.
•Prins, M; Verhaak; P; Bensing, J; van der Meer, K. Health beliefs and perceived need for mental health care of anxiety and depression—The patients' perspective explored. Clinical Psychology Review. 2008; 28:1038–1058.
A qualitative
study based on a
semi-structures
interview
Sample:
24 patients
with unipolar
depression
Patients lived
in 8 different
autonomous
communities
Diagnosed
by a health
professional
Age:
24-68
years old
1 Canarian Foundation of Health and Research (FUNCIS), Tenerife, Spain | 2 Health Services Research on Chronic Patients Network (REDISSEC), Tenerife, Spain | 3 Evaluation Unit of the
Canary Islands Health Service, Tenerife, Spain | 4 Universitat Rovira i Virgili, Tarragona, Spain | 5 University Hospital La Princesa, Madrid, Spain | 6 University Camilo Jose Cela, Madrid, Spain