Table 3 The three step inter-professional diagnostic process for patients with suspected depression or anxiety disorders in primary care
Description of the stages in the intended process | Content of the actual process, PCC1 | Content of the actual process, PCC2 |
|---|---|---|
The patient meets an FP. 1. The FP decides whether there is a need for the MINI in the diagnostic process | As the intended process | As the intended process |
2. The FP considers whether to refer for a MINI assessment by a therapist. The FP suggests referral for eligible patients and explains the reason for the referral. | As the intended process | As the intended process with an assumption that the therapist could treat if indicated |
Referral to the therapist according to standard routines | As the intended process | As the intended process |
The patient visits the therapist for the MINI assessment | As the intended process. The therapist communicated the results to the patients and informed that the FPwould make the treatment decision. | The therapist assessed the patient with MINI and other tests. The therapist discussed and agreed with the patient on therapy. |
3. Feedback of the results of the assessment from the therapist to the FP | As the intended process. The therapist provided feedback both in the patient record system and during a personal meeting. | Usually no feedback from the therapist to the FPs, but information about diagnosis and treatment could be read from the patient record system |
The FP decides on treatment. | As the intended process. Sometimes the therapist and the FP agreed on the treatment during the feedback meeting. | The therapist made the decision. |