{"id":"https://openalex.org/W2023201815","doi":"https://doi.org/10.1001/archinte.1996.00440210121012","title":"Impact of Screening for Mental Health Concerns on Health Service Utilization and Functional Status in Primary Care Patients","display_name":"Impact of Screening for Mental Health Concerns on Health Service Utilization and Functional Status in Primary Care Patients","publication_year":1996,"publication_date":"1996-12-09","ids":{"openalex":"https://openalex.org/W2023201815","doi":"https://doi.org/10.1001/archinte.1996.00440210121012","mag":"2023201815","pmid":"https://pubmed.ncbi.nlm.nih.gov/8951303"},"language":"en","primary_location":{"id":"doi:10.1001/archinte.1996.00440210121012","doi":"https://doi.org/10.1001/archinte.1996.00440210121012","is_oa":false,"landing_page_url":"https://doi.org/10.1001/archinte.1996.00440210121012","pdf_url":null,"source":{"id":"https://openalex.org/S4210206803","display_name":"Archives of Internal Medicine","issn_l":"0003-9926","issn":["0003-9926","0730-188X","1538-3679"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of Internal Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5032841012","display_name":"Douglas R. Reifler","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I111979921","display_name":"Northwestern University","ror":"https://ror.org/000e0be47","country_code":"US","type":"education","lineage":["https://openalex.org/I111979921"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"D. R. Reifler","raw_affiliation_strings":["Division of General Internal Medicine, Northwestern University Medical School, Chicago, IL, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of General Internal Medicine, Northwestern University Medical School, Chicago, IL, USA","institution_ids":["https://openalex.org/I111979921"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5032841012"],"corresponding_institution_ids":["https://openalex.org/I111979921"],"apc_list":null,"apc_paid":null,"fwci":1.746,"has_fulltext":false,"cited_by_count":47,"citation_normalized_percentile":{"value":0.83567462,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":95},"biblio":{"volume":"156","issue":"22","first_page":"2593","last_page":"2593"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.9585000276565552,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.9585000276565552,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.01119999960064888,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10853","display_name":"Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes","score":0.004800000227987766,"subfield":{"id":"https://openalex.org/subfields/3205","display_name":"Experimental and Cognitive Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/mental-health-screening","display_name":"mental health screening","score":0.9240000247955322},{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.6650000214576721},{"id":"https://openalex.org/keywords/internal-medicine-patients","display_name":"internal medicine patients","score":0.7770000100135803},{"id":"https://openalex.org/keywords/health-care-utilization","display_name":"health care utilization","score":0.7129999995231628},{"id":"https://openalex.org/keywords/functional-status","display_name":"functional status","score":0.9909999966621399},{"id":"https://openalex.org/keywords/depression","display_name":"depression","score":0.8080000281333923},{"id":"https://openalex.org/keywords/anxiety","display_name":"anxiety","score":0.9940000176429749},{"id":"https://openalex.org/keywords/patient-satisfaction","display_name":"patient satisfaction","score":0.8820000290870667},{"id":"https://openalex.org/keywords/sf-36","display_name":"SF-36","score":0.6200000047683716},{"id":"https://openalex.org/keywords/zung-self-rating-depression-scale","display_name":"Zung Self-Rating Depression Scale","score":0.9089999794960022},{"id":"https://openalex.org/keywords/outpatient-visits","display_name":"outpatient visits","score":0.5759999752044678},{"id":"https://openalex.org/keywords/diagnostic-module","display_name":"diagnostic module","score":0.4519999921321869},{"id":"https://openalex.org/keywords/academic-medical-centers","display_name":"academic medical centers","score":0.3050000071525574}],"concepts":[{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.6367185115814209},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.5603584051132202},{"id":"https://openalex.org/C3019351904","wikidata":"https://www.wikidata.org/wiki/Q6817476","display_name":"Mental health service","level":3,"score":0.46618765592575073},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4591282308101654},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.43402552604675293},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3857038617134094},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.33899158239364624},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3357440233230591},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.31590577960014343},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.2943676710128784},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.17458364367485046},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D001523","descriptor_name":"Mental Disorders","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006295","descriptor_name":"Health Resources","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008403","descriptor_name":"Mass Screening","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D009819","descriptor_name":"Office Visits","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011581","descriptor_name":"Psychological Tests","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011859","descriptor_name":"Radiography","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015995","descriptor_name":"Prevalence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016014","descriptor_name":"Linear Models","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016015","descriptor_name":"Logistic Models","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1001/archinte.1996.00440210121012","doi":"https://doi.org/10.1001/archinte.1996.00440210121012","is_oa":false,"landing_page_url":"https://doi.org/10.1001/archinte.1996.00440210121012","pdf_url":null,"source":{"id":"https://openalex.org/S4210206803","display_name":"Archives of Internal Medicine","issn_l":"0003-9926","issn":["0003-9926","0730-188X","1538-3679"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of Internal Medicine","raw_type":"journal-article"},{"id":"doi:10.1001/archinte.156.22.2593","doi":"https://doi.org/10.1001/archinte.156.22.2593","is_oa":false,"landing_page_url":"https://doi.org/10.1001/archinte.156.22.2593","pdf_url":null,"source":{"id":"https://openalex.org/S4210206803","display_name":"Archives of Internal Medicine","issn_l":"0003-9926","issn":["0003-9926","0730-188X","1538-3679"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of Internal Medicine","raw_type":"journal-article"},{"id":"pmid:8951303","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8951303","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of internal medicine","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":28,"referenced_works":["https://openalex.org/W590310416","https://openalex.org/W1482935192","https://openalex.org/W1491401763","https://openalex.org/W1493773294","https://openalex.org/W1702309181","https://openalex.org/W1971438266","https://openalex.org/W1972882234","https://openalex.org/W1973431159","https://openalex.org/W1984410996","https://openalex.org/W2005571121","https://openalex.org/W2026167907","https://openalex.org/W2033024164","https://openalex.org/W2035819710","https://openalex.org/W2044120816","https://openalex.org/W2048456603","https://openalex.org/W2066439978","https://openalex.org/W2079105789","https://openalex.org/W2081714053","https://openalex.org/W2095328058","https://openalex.org/W2113252270","https://openalex.org/W2145078095","https://openalex.org/W2152313268","https://openalex.org/W2170332928","https://openalex.org/W2315336787","https://openalex.org/W2467281374","https://openalex.org/W2472195961","https://openalex.org/W2472639308","https://openalex.org/W4252025645"],"related_works":["https://openalex.org/W2346132319","https://openalex.org/W2144762209","https://openalex.org/W2079730167","https://openalex.org/W4393254052","https://openalex.org/W2007055463","https://openalex.org/W2033420696","https://openalex.org/W2169692263","https://openalex.org/W7152636703","https://openalex.org/W2133954247","https://openalex.org/W1935642969"],"abstract_inverted_index":{"BACKGROUND:":[0],"Mental":[1],"health":[2,128,248],"concerns":[3],"are":[4,11,298],"common":[5],"in":[6,29,42,207,218,320],"primary":[7,16,294],"care":[8,17,129,295],"patients":[9,36,196,296,321],"and":[10,82,104,119,127,138,174,202,209,305],"often":[12],"inadequately":[13],"addressed":[14],"by":[15,134],"physicians.":[18],"OBJECTIVE:":[19],"To":[20],"assess":[21],"the":[22,58,74,79,89,97,100,110,114,120,219,310],"impact":[23,337],"of":[24,45,96,99,274,309],"screening":[25,71,80,101,144,162,287],"for":[26,54,63,146,284,289,301,314,325],"mental":[27,55,148,290,326],"disorders":[28,56,291,327],"internal":[30,49],"medicine":[31,50],"patients.":[32,276],"METHODS:":[33],"Randomly":[34],"selected":[35],"(n":[37,150],"=":[38,151,193,236,251,265],"358)":[39],"visiting":[40],"physicians":[41,77,92],"2":[43],"firms":[44],"an":[46],"urban":[47],"academic":[48],"clinic":[51],"were":[52,93,107,131,205],"screened":[53,198,323],"using":[57,109],"16-item":[59,279],"Symptom-Driven":[60,281,311],"Diagnostic":[61,282,312],"System":[62,283,313],"Primary":[64,285,315],"Care":[65,286,316],"(Upjohn":[66],"Co,":[67],"Kalamazoo,":[68],"Mich)":[69],"first-stage":[70,280],"questionnaire.":[72,102],"In":[73,88],"experimental":[75,208,220],"firm,":[76,91],"received":[78],"results":[81,98],"then":[83],"administered":[84],"second-stage":[85,317],"diagnostic":[86,318],"modules.":[87],"control":[90,210],"not":[94],"notified":[95],"Baseline":[103],"3-month":[105],"function":[106],"assessed":[108,133],"SF-36":[111,170],"Health":[112,171],"Survey,":[113],"Zung":[115],"Self-Rating":[116],"Depression":[117],"Scale,":[118],"Sheehan":[121],"Patient-Rated":[122],"Anxiety":[123],"Scale.":[124],"Patient":[125],"satisfaction":[126,204,343],"utilization":[130,213,332],"also":[132],"questionnaire":[135,288],"at":[136,232,299],"baseline":[137,157],"after":[139,344],"3":[140,182,233,345],"months.":[141,346],"RESULTS:":[142],"Patients":[143],"positively":[145,324],"any":[147],"disorder":[149],"238,":[152],"66.5%)":[153],"had":[154,335],"markedly":[155],"lower":[156,217,302,331],"functional":[158,200,303,339],"status":[159,304],"than":[160],"those":[161],"negatively":[163],"(P":[164],"<":[165],".05":[166],"on":[167,338],"all":[168],"8":[169],"Survey":[172],"subscales)":[173],"more":[175],"total":[176,229],"(+/-":[177,214],"SD)":[178,215],"outpatient":[179,230],"visits":[180,231,245],"over":[181],"months":[183],"(4.5":[184],"+/-":[185,189,223,227,239,243,254,258],"5.5":[186],"vs":[187,225,241,256],"2.5":[188],"2.6":[190],"visits,":[191],"P":[192,235,250,264],".001).":[194],"Among":[195],"who":[197,297,322],"positively,":[199],"outcomes":[201],"patient":[203,342],"similar":[206],"groups;":[211],"mean":[212],"was":[216,271,328],"group":[221],"(3.7":[222],"3.9":[224],"5.3":[226],"6.7":[228],"months,":[234],".06;":[237],"0.9":[238,259],"1.5":[240],"2.1":[242],"3.7":[244],"to":[246],"non-mental":[247],"specialists,":[249],".003;":[252],"0.2":[253],"0.5":[255],"0.4":[257],"x-ray":[260],"films":[261],"per":[262],"patient,":[263],".01).":[266],"The":[267,278],"follow-up":[268],"response":[269],"rate":[270],"286":[272],"(79.9%)":[273],"358":[275],"CONCLUSIONS:":[277],"can":[292],"identify":[293],"risk":[300],"higher":[306],"utilization.":[307],"Use":[308],"modules":[319],"associated":[329],"with":[330],"rates":[333],"but":[334],"no":[336],"outcome":[340],"or":[341]},"counts_by_year":[{"year":2014,"cited_by_count":1},{"year":2013,"cited_by_count":2},{"year":2012,"cited_by_count":1}],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2016-06-24T00:00:00"}
