Sharon Goldman, Irit Cohen-Manheim, Irina Radomislensky, Bella Savitsky, Moran Bodas
Demographic and injury trends for car crash casualties hospitalized in Level I Trauma centers over two decades: data from the National Trauma Registry
Israel journal of health policy research
coronary heart disease chd often associated mental disorders mds comorbid mds reduce quality life increase cardiac morbidity mortality nevertheless little inconsistent research management mds chd patients bridge gap study aims gain insight longterm course mdrelated health care patients chd order identify opportunities care improvement prospective cohort study investigated whether chd patients without expertrated md baseline n 364 received different mdrelated health care either general practitioner gp cardiologist followup 27 2040 years later followup assessment n 131 chd patients participated received questionnaires capturing sociodemographic mental health mdrelated health care characteristics descriptive statistics ttests chisquared tests used analyses found significant differences mdrelated health care chd patients md likely examined psychologicallypsychiatrically md 559 nonmd 167 p 001 diagnosed md md 559 nonmd 135 p 020 gp cardiologist recommendations responses requests psychotherapy likely md patients compared nonmd patients md 387 nonmd 118 p 012 md 385 nonmd 118 p 031 respectively significant differences found concerning physicians active demand patients mental health referral specialist additional diagnostics provision information diagnosed md treatment options response patients request psychopharmacotherapy help received finding psychotherapy psychopharmacotherapy actual receipt treatments results indicate differences mdrelated health care chd patients without comorbid md however still highlight need encourage primary care physicians treating chd adequately address mds provide diagnostics support information affected patients address physicians may benefit awareness training association chd mds appropriate communication md patients german clinical trials register deutsches register klinischer studien drks registration number id drks00022154 date registration 02112021