Table 3: Perceived Patient and Provider Barriers.
|
Full Sample |
Physicians (n=23) |
Nurses (n=48) |
Mental Health Workers (n=15) |
Public Health Practitioners (n=13) |
P-Value |
||||||||||
Patients often deny feeling depressed+ |
64.6% |
60.9% |
60.4% |
80.0% |
69.2% |
0.54 |
||||||||||
Patients believe feeling depressed is normal+ |
33.3% |
47.8% |
29.2% |
33.3% |
23.1% |
0.37 |
||||||||||
Patients do not follow up with treatment for depression+ |
76.8% |
73.9% |
72.9% |
93.3% |
76.9% |
0.42 |
||||||||||
Patients feel stigmatized by being told they have depression+ |
62.6% |
69.6% |
56.3% |
46.7% |
92.3% |
0.05* |
||||||||||
Patients have other beliefs that interfere with assessment and/or treatment for depression+ |
60.4% |
50.0% |
59.6% |
85.7% |
53.8% |
0.17 |
||||||||||
|
|
Provider barriers to diagnose |
|
|
|
|||||||||||
a. Perceived patient barriers |
57.0% |
69.6% |
55.3% |
71.4% |
35.7% |
0.26 |
||||||||||
b. Limited time |
44.0% |
60.9% |
44.7% |
35.7% |
21.4% |
0.68 |
||||||||||
c. Availability of mental health referral options |
41.0% |
47.8% |
46.8% |
21.4% |
36.7% |
0.31 |
||||||||||
d. Lack of knowledge/skills |
29.0% |
8.7% |
36.2% |
21.4% |
50.0% |
0.02* |
||||||||||
e. Reimbursement/insurance options |
20.0% |
21.7% |
23.4% |
28.6% |
0.0% |
0.28 |
+Responses to items were captured on a 5-point scale and values represent % agree or strongly agree.
*p≤0.05; **p≤0.01; ***p<0.001.