The effects of patient-centered depression care on patient satisfaction and depression remission

Fam Pract. 2016 Dec;33(6):649-655. doi: 10.1093/fampra/cmw068. Epub 2016 Aug 17.


Background: While health systems are striving for patient-centered care, they have little evidence to guide them on how to engage patients in their care, or how this may affect patient experiences and outcomes.

Objective: To explore which specific patient-centered aspects of care were best associated with depression improvement and care satisfaction.

Methods: Design: observational.

Setting: 83 primary care clinics across Minnesota.

Subjects: Primary care patients with new prescriptions for antidepressants for depression were recruited from 2007 to 2009.

Outcome measures: Patients completed phone surveys regarding demographics and self-rated health status and depression severity at baseline and 6 months. Patient centeredness was assessed via a modified version of the Patient Assessment of Chronic Illness Care. Differences in rates of remission and satisfaction between positive and negative responses for each care process were evaluated using chi-square tests.

Results: At 6 months, 37% of 792 patients ages 18-88 achieved depression remission, and 79% rated their care as good-to-excellent. Soliciting patient preferences for care and questions or concerns, providing treatment plans, utilizing depression scales and asking about suicide risk were patient-centered measures that were positively associated with depression remission in the unadjusted model; these associations were mildly weakened after adjustment for depression severity and health status. Nearly all measures of patient centeredness were positively associated with care ratings.

Conclusion: The patient centeredness of care influences how patients experience and rate their care. This study identified specific actions providers can take to improve patient satisfaction and depression outcomes.

Keywords: Anti-depressive agents; depression; patient care management.; patient satisfaction; patient-centered care; primary health care.

Publication types

  • Observational Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Antidepressive Agents / therapeutic use
  • Depression / drug therapy*
  • Health Status
  • Humans
  • Middle Aged
  • Patient Care Planning
  • Patient Participation
  • Patient Preference
  • Patient Satisfaction*
  • Patient-Centered Care*
  • Primary Health Care / standards*
  • Psychiatric Status Rating Scales
  • Recurrence
  • Severity of Illness Index
  • Suicidal Ideation
  • Surveys and Questionnaires
  • Young Adult


  • Antidepressive Agents