{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T03:58:35Z","timestamp":1777521515326,"version":"3.51.4"},"reference-count":59,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2017,1,20]],"date-time":"2017-01-20T00:00:00Z","timestamp":1484870400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can J Psychiatry"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Provide up-to-date detection rates for common mental disorders (CMD) and examine patient service-use since the Preferred Doctor scheme was introduced to France in 2005, with patients encouraged to register with and consult a family practitioner (FP) of their choice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Study of 1133 consecutive patients consulting 38 FPs in the Montpellier region, replicating a study performed before the scheme. Patients in the waiting room completed the self-report Patient Health Questionnaire (PHQ) and Client Service-Receipt Inventory with questions on registration with a Preferred Doctor and doctor-shopping. CMD was defined as reaching PHQ criteria for depression, somatoform, panic or anxiety disorder. For each patient, FPs completed a questionnaire capturing psychiatric caseness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>81.2% of patients were seeing their Preferred Doctor on the survey-day. Of those with a CMD, 52.6% were detected by the FP. This increased with CMD severity and comorbidity. Detected cases were more likely to be consulting their Preferred Doctor (84.7% versus 79.4% for non-detected cases, p = 0.05) rather than another FP. They declared more visits to psychiatrists (17.2% versus 6.7%, p = 0.002). There was no association with consultation frequency or doctor-shopping, which both declined between the two studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The CMD detection rate is relatively high, with no increase compared to our previous study, despite a decline in doctor-shopping. An explanation is the same high proportion of patients visiting their usual FP on the survey-day at both periods, suggesting a limited impact of the scheme on care continuity. FP action taken highlights the importance of improving detection for providing care to patients with CMDs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0706743716686918","type":"journal-article","created":{"date-parts":[[2017,1,21]],"date-time":"2017-01-21T12:50:11Z","timestamp":1485003011000},"page":"521-530","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Health Service Utilisation, Detection Rates by Family Practitioners, and Management of Patients with Common Mental Disorders in French Family Practice"],"prefix":"10.1177","volume":"62","author":[{"given":"Joanna","family":"Norton","sequence":"first","affiliation":[{"name":"Inserm, U1061, University of Montpellier, Montpellier, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agn\u00e8s Oude","family":"Engberink","sequence":"additional","affiliation":[{"name":"Department of General Practice, University of Montpellier, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Gandubert","sequence":"additional","affiliation":[{"name":"Inserm, U1061, University of Montpellier, Montpellier, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Ritchie","sequence":"additional","affiliation":[{"name":"Inserm, U1061, University of Montpellier, Montpellier, France"},{"name":"Center for Clinical Brain Sciences, University of Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony","family":"Mann","sequence":"additional","affiliation":[{"name":"Institute of Psychiatry, Psychology and Neuroscience, King\u2019s College, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michel","family":"David","sequence":"additional","affiliation":[{"name":"Department of General Practice, University of Montpellier, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Delphine","family":"Capdevielle","sequence":"additional","affiliation":[{"name":"Inserm, U1061, University of Montpellier, Montpellier, France"},{"name":"University Department of Adult Psychiatry, Montpellier University Hospital, Montpellier, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,1,20]]},"reference":[{"key":"bibr1-0706743716686918","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyu038"},{"key":"bibr2-0706743716686918","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2007.58.2.213"},{"key":"bibr3-0706743716686918","doi-asserted-by":"publisher","DOI":"10.1097\/00004850-199701000-00003"},{"key":"bibr4-0706743716686918","doi-asserted-by":"publisher","DOI":"10.1177\/0004867413520047"},{"key":"bibr5-0706743716686918","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmr049"},{"key":"bibr6-0706743716686918","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2007.02.005"},{"key":"bibr7-0706743716686918","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700036606"},{"key":"bibr8-0706743716686918","unstructured":"Ustun TB, Sartorius N, eds. 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