Doctor's recommendations for psychosocial care: Frequency and predictors of recommendations and referrals
A significant number of oncological patients are heavily burdened by psychosocial stress. Doctors recommending or referring their patients to psycho-oncologists in the course of routine consultations can positively influence psycho-oncological care. The aim of this study was to analyze the frequency...
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| Veröffentlicht in: | PloS one 2018-10, Vol.13 (10), p.e0205160-e0205160 |
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| creator | Ernst, Jochen Faller, Hermann Koch, Uwe Brähler, Elmar Härter, Martin Schulz, Holger Weis, Joachim Köhler, Norbert Hinz, Andreas Mehnert, Anja |
| description | A significant number of oncological patients are heavily burdened by psychosocial stress. Doctors recommending or referring their patients to psycho-oncologists in the course of routine consultations can positively influence psycho-oncological care. The aim of this study was to analyze the frequency and predictors of such recommendations and to examine the use of these services by patients.
4,020 cancer patients (mean age 58 years; 51% women) were evaluated in a multicenter, cross-sectional study in Germany. Data was gathered about doctors' referral practices, patients' utilization of psycho-oncological care services, and disease-related symptoms. The PHQ-9 depression scale and the GAD-7 anxiety scale were used to measure psychological burden. Descriptive data analysis was conducted on the basis of subgroup comparisons and multivariable analysis was done using binary logistical regression.
21.9% of the respondents reported having been given a recommendation or referral for psycho-oncological care by a doctor within the course of their cancer diagnosis and treatment. This comprises 29.5% of the patients identified by screening as being psychologically burdened. Nearly half of the patients who received a recommendation or referral (49.8%) acted on it. Predictors for seeking out psycho-oncological care included: patient desire (OR = 2.0), previous experience with psycho-oncological care (OR = 1.59), and female gender (OR = 1.57). Multivariable analysis indicated that patients' level of psychological burden (depression, anxiety) had no effect on whether doctors gave them a recommendation or referral.
Along with examining the degree to which patients are burdened (e.g. using screening instruments), determining whether or not patients would like to receive psycho-oncological care is an important aspect of improving referral practices and, by extension, will allow important progress in the field of psycho-oncological care to be made. |
| doi_str_mv | 10.1371/journal.pone.0205160 |
| format | Article |
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4,020 cancer patients (mean age 58 years; 51% women) were evaluated in a multicenter, cross-sectional study in Germany. Data was gathered about doctors' referral practices, patients' utilization of psycho-oncological care services, and disease-related symptoms. The PHQ-9 depression scale and the GAD-7 anxiety scale were used to measure psychological burden. Descriptive data analysis was conducted on the basis of subgroup comparisons and multivariable analysis was done using binary logistical regression.
21.9% of the respondents reported having been given a recommendation or referral for psycho-oncological care by a doctor within the course of their cancer diagnosis and treatment. This comprises 29.5% of the patients identified by screening as being psychologically burdened. Nearly half of the patients who received a recommendation or referral (49.8%) acted on it. Predictors for seeking out psycho-oncological care included: patient desire (OR = 2.0), previous experience with psycho-oncological care (OR = 1.59), and female gender (OR = 1.57). Multivariable analysis indicated that patients' level of psychological burden (depression, anxiety) had no effect on whether doctors gave them a recommendation or referral.
Along with examining the degree to which patients are burdened (e.g. using screening instruments), determining whether or not patients would like to receive psycho-oncological care is an important aspect of improving referral practices and, by extension, will allow important progress in the field of psycho-oncological care to be made.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0205160</identifier><identifier>PMID: 30286172</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adult ; Aged ; Anxiety ; Anxiety - therapy ; Biology and Life Sciences ; Cancer ; Cancer patients ; Cancer therapies ; Care and treatment ; Comorbidity ; Cost of Illness ; Cross-Sectional Studies ; Data analysis ; Data processing ; Depression - therapy ; Female ; Germany ; Humans ; Male ; Medical diagnosis ; Medical personnel ; Medical referrals ; Medicine and Health Sciences ; Mental depression ; Mental disorders ; Mental health ; Middle Aged ; Neoplasms - psychology ; Neoplasms - therapy ; Oncology ; Patient Acceptance of Health Care ; Patients ; People and Places ; Physicians ; Practice Patterns, Physicians ; Psychiatric referral ; Psycho-Oncology ; Psychological aspects ; Psychological distress ; Psychology ; Psychotherapy ; Referral and Consultation ; Referrals ; Regression analysis ; Rehabilitation ; Screening ; Sex Factors ; Social interactions ; Social Sciences ; Socioeconomic Factors ; Sociology ; Stress (Psychology) ; Subgroups ; Tests ; Young Adult</subject><ispartof>PloS one, 2018-10, Vol.13 (10), p.e0205160-e0205160</ispartof><rights>COPYRIGHT 2018 Public Library of Science</rights><rights>2018 Ernst et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2018 Ernst et al 2018 Ernst et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-229177c817df8c96294f622b041618d57a6a61be30cc291a236595264d2e4073</citedby><cites>FETCH-LOGICAL-c692t-229177c817df8c96294f622b041618d57a6a61be30cc291a236595264d2e4073</cites><orcidid>0000-0002-2374-3232</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6171924/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6171924/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2101,2927,23865,27343,27923,27924,33773,53790,53792,79471,79472</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30286172$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Pujol, Jean-Louis</contributor><creatorcontrib>Ernst, Jochen</creatorcontrib><creatorcontrib>Faller, Hermann</creatorcontrib><creatorcontrib>Koch, Uwe</creatorcontrib><creatorcontrib>Brähler, Elmar</creatorcontrib><creatorcontrib>Härter, Martin</creatorcontrib><creatorcontrib>Schulz, Holger</creatorcontrib><creatorcontrib>Weis, Joachim</creatorcontrib><creatorcontrib>Köhler, Norbert</creatorcontrib><creatorcontrib>Hinz, Andreas</creatorcontrib><creatorcontrib>Mehnert, Anja</creatorcontrib><title>Doctor's recommendations for psychosocial care: Frequency and predictors of recommendations and referrals</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>A significant number of oncological patients are heavily burdened by psychosocial stress. Doctors recommending or referring their patients to psycho-oncologists in the course of routine consultations can positively influence psycho-oncological care. The aim of this study was to analyze the frequency and predictors of such recommendations and to examine the use of these services by patients.
4,020 cancer patients (mean age 58 years; 51% women) were evaluated in a multicenter, cross-sectional study in Germany. Data was gathered about doctors' referral practices, patients' utilization of psycho-oncological care services, and disease-related symptoms. The PHQ-9 depression scale and the GAD-7 anxiety scale were used to measure psychological burden. Descriptive data analysis was conducted on the basis of subgroup comparisons and multivariable analysis was done using binary logistical regression.
21.9% of the respondents reported having been given a recommendation or referral for psycho-oncological care by a doctor within the course of their cancer diagnosis and treatment. This comprises 29.5% of the patients identified by screening as being psychologically burdened. Nearly half of the patients who received a recommendation or referral (49.8%) acted on it. Predictors for seeking out psycho-oncological care included: patient desire (OR = 2.0), previous experience with psycho-oncological care (OR = 1.59), and female gender (OR = 1.57). Multivariable analysis indicated that patients' level of psychological burden (depression, anxiety) had no effect on whether doctors gave them a recommendation or referral.
Along with examining the degree to which patients are burdened (e.g. using screening instruments), determining whether or not patients would like to receive psycho-oncological care is an important aspect of improving referral practices and, by extension, will allow important progress in the field of psycho-oncological care to be made.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Anxiety</subject><subject>Anxiety - therapy</subject><subject>Biology and Life Sciences</subject><subject>Cancer</subject><subject>Cancer patients</subject><subject>Cancer therapies</subject><subject>Care and treatment</subject><subject>Comorbidity</subject><subject>Cost of Illness</subject><subject>Cross-Sectional Studies</subject><subject>Data analysis</subject><subject>Data processing</subject><subject>Depression - therapy</subject><subject>Female</subject><subject>Germany</subject><subject>Humans</subject><subject>Male</subject><subject>Medical 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Martin</au><au>Schulz, Holger</au><au>Weis, Joachim</au><au>Köhler, Norbert</au><au>Hinz, Andreas</au><au>Mehnert, Anja</au><au>Pujol, Jean-Louis</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Doctor's recommendations for psychosocial care: Frequency and predictors of recommendations and referrals</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2018-10-04</date><risdate>2018</risdate><volume>13</volume><issue>10</issue><spage>e0205160</spage><epage>e0205160</epage><pages>e0205160-e0205160</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>A significant number of oncological patients are heavily burdened by psychosocial stress. Doctors recommending or referring their patients to psycho-oncologists in the course of routine consultations can positively influence psycho-oncological care. The aim of this study was to analyze the frequency and predictors of such recommendations and to examine the use of these services by patients.
4,020 cancer patients (mean age 58 years; 51% women) were evaluated in a multicenter, cross-sectional study in Germany. Data was gathered about doctors' referral practices, patients' utilization of psycho-oncological care services, and disease-related symptoms. The PHQ-9 depression scale and the GAD-7 anxiety scale were used to measure psychological burden. Descriptive data analysis was conducted on the basis of subgroup comparisons and multivariable analysis was done using binary logistical regression.
21.9% of the respondents reported having been given a recommendation or referral for psycho-oncological care by a doctor within the course of their cancer diagnosis and treatment. This comprises 29.5% of the patients identified by screening as being psychologically burdened. Nearly half of the patients who received a recommendation or referral (49.8%) acted on it. Predictors for seeking out psycho-oncological care included: patient desire (OR = 2.0), previous experience with psycho-oncological care (OR = 1.59), and female gender (OR = 1.57). Multivariable analysis indicated that patients' level of psychological burden (depression, anxiety) had no effect on whether doctors gave them a recommendation or referral.
Along with examining the degree to which patients are burdened (e.g. using screening instruments), determining whether or not patients would like to receive psycho-oncological care is an important aspect of improving referral practices and, by extension, will allow important progress in the field of psycho-oncological care to be made.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>30286172</pmid><doi>10.1371/journal.pone.0205160</doi><tpages>e0205160</tpages><orcidid>https://orcid.org/0000-0002-2374-3232</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2018-10, Vol.13 (10), p.e0205160-e0205160 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2116414604 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Sociological Abstracts; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adolescent Adult Aged Anxiety Anxiety - therapy Biology and Life Sciences Cancer Cancer patients Cancer therapies Care and treatment Comorbidity Cost of Illness Cross-Sectional Studies Data analysis Data processing Depression - therapy Female Germany Humans Male Medical diagnosis Medical personnel Medical referrals Medicine and Health Sciences Mental depression Mental disorders Mental health Middle Aged Neoplasms - psychology Neoplasms - therapy Oncology Patient Acceptance of Health Care Patients People and Places Physicians Practice Patterns, Physicians Psychiatric referral Psycho-Oncology Psychological aspects Psychological distress Psychology Psychotherapy Referral and Consultation Referrals Regression analysis Rehabilitation Screening Sex Factors Social interactions Social Sciences Socioeconomic Factors Sociology Stress (Psychology) Subgroups Tests Young Adult |
| title | Doctor's recommendations for psychosocial care: Frequency and predictors of recommendations and referrals |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-08T19%3A26%3A04IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Doctor's%20recommendations%20for%20psychosocial%20care:%20Frequency%20and%20predictors%20of%20recommendations%20and%20referrals&rft.jtitle=PloS%20one&rft.au=Ernst,%20Jochen&rft.date=2018-10-04&rft.volume=13&rft.issue=10&rft.spage=e0205160&rft.epage=e0205160&rft.pages=e0205160-e0205160&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0205160&rft_dat=%3Cgale_plos_%3EA557683461%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2116414604&rft_id=info:pmid/30286172&rft_galeid=A557683461&rft_doaj_id=oai_doaj_org_article_93caec9fff024bcca6545019e3bc3126&rfr_iscdi=true |