Patients with psychological ICPC codes in primary care; a case-control study investigating the decade before presenting with problems

<p><b>Background:</b> Recognizing patients with psychological problems can be difficult for general practitioners (GPs). Use of information collected in electronic medical records (EMR) could facilitate recognition.</p> <p><b>Objectives:</b> To assess relevant EMR parameters in the decade before patients present with psychological problems.</p> <p><b>Methods:</b> Exploratory case-control study assessing EMR parameters of 58 228 patients recorded between 2013 and 2015 by 54 GPs. We compared EMR parameters recorded before 2014 of patients who presented with psychological problems in 2014 with those who did not.</p> <p><b>Results:</b> In 2014, 2406 patients presented with psychological problems. Logistic regression analyses indicated that having registrations of the following statistically significant parameters increased the chances of presenting with psychological problems in 2014: prior administration of a depression severity questionnaire (odds ratio (OR): 3.3); fatigue/sleeping (OR: 1.6), neurological (OR: 1.5), rheumatic (OR: 1.5) and substance abuse problems (OR: 1.5); prescriptions of opioids (OR: 1.3), antimigraine preparations (OR: 1.5), antipsychotics (OR: 1.7), anxiolytics (OR: 1.4), hypnotics and sedatives (OR: 1.4), antidepressants (OR: 1.7), and antidementia drugs (OR: 2.1); treatment with minimal interventions (OR: 2.2) and physical exercise (OR: 3.3), referrals to psychology (OR: 1.5), psychiatry (OR: 1.6), and psychosocial care (OR: 2.1); double consultations (OR: 1.2), telephone consultations (OR: 1.1), and home visits (OR: 1.1).</p> <p><b>Conclusion:</b> This study demonstrates that possible indications of psychological problems can be identified in EMR. Many EMR parameters of patients presenting with psychological problems were different compared with patients who did not.</p

Determinants of having at least four Antenatal Care visits in a health center.

<p>Determinants of having at least four Antenatal Care visits in a health center.</p

Analytics Scorecard home page.

<p>Analytics Scorecard home page.</p

Percentage distribution of women who had Delivery and Postnatal care in a Health Center according to number of ANC visits.

<p>Percentage distribution of women who had Delivery and Postnatal care in a Health Center according to number of ANC visits.</p

Sampling procedures and follow up schedule.

<p>Sampling procedures and follow up schedule.</p

Average number of protocol forms submitted each month (per health worker).

<p>Average number of protocol forms submitted each month (per health worker).</p

Average number of accesses to the mobile scorecard, by health worker role.

<p>Average number of accesses to the mobile scorecard, by health worker role.</p

1a & 1b. Ge’ez keyboard and Ethiopian data picker.

<p>1a & 1b. Ge’ez keyboard and Ethiopian data picker.</p

3a & 3b. Mobile scorecard homepage and mobile scorecard.

<p>Showing deliveries due and associated risk factors (personal data has been pixelated).</p

Average number of protocol forms submitted per month by individual health workers (HEWs and midwives).

<p>Average number of protocol forms submitted per month by individual health workers (HEWs and midwives).</p