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Harefuah

Doron Merims 
Irina Seleznev 
Giora Ben Ari
Tania Bugoslavsky              

Background: The Israeli National Program for Quality Measures determined the need for screening for depression during rehabilitation following stroke as a quality measure in the elderly; this is in order to better diagnose and treat post-stroke depression. The study's goal was to investigate whether adding screening for depression had an effect on the rate of diagnosis. Depression is a culture-dependent phenomenon, therefore the change in the rate of diagnosis of depression in the Arab population and the Jewish population was examined separately.

Methods: Data were collected from the computerized medical records of 879 patients (456 men; 423 women) admitted for rehabilitation following stroke between January 2015 and April 2019. In 2016, the quality measure was implemented. The PHQ-2 questionnaire was used for screening for depression. A comparison was made between the rate of patients diagnosed with depression before and after the introduction of the measure.

Results: No significant statistical difference was found in the diagnosis rate of post-stroke depression, before and after the quality measure of screening for depression was implemented. The results of the PHQ-2 questionnaire were found to be consistent with depression diagnosis.

Conclusions: Screening for depression after stroke using the PHQ-2 questionnaire has not changed the diagnosis rate of depression in the Jewish or Arab elderly population. The quality measure performed during 2016-2019 had no additive value for the diagnosis of depression at the geriatric rehabilitation units at Shoham Geriatric Hospital. In recent years many quality measures have been added to the daily tasks in different units increasing the already heavy work load of the medical staff. This study emphasizes the importance of measuring the added value of quality measures, to enable proper use of resources and to decrease feelings of frustration and burnout among the medical staff.

פותח על ידי קלירמאש פתרונות בע"מ -
הספר "אוצר וולקני"
אודות
תנאי שימוש
DOES SCREENING FOR DEPRESSION AS A QUALITY MEASUREMENT IMPACT DIAGNOSIS RATE OF DEPRESSION IN PATIENTS UNDERGOING REHABILITATION FOLLOWING A STROKE

Doron Merims 
Irina Seleznev 
Giora Ben Ari
Tania Bugoslavsky              

Background: The Israeli National Program for Quality Measures determined the need for screening for depression during rehabilitation following stroke as a quality measure in the elderly; this is in order to better diagnose and treat post-stroke depression. The study's goal was to investigate whether adding screening for depression had an effect on the rate of diagnosis. Depression is a culture-dependent phenomenon, therefore the change in the rate of diagnosis of depression in the Arab population and the Jewish population was examined separately.

Methods: Data were collected from the computerized medical records of 879 patients (456 men; 423 women) admitted for rehabilitation following stroke between January 2015 and April 2019. In 2016, the quality measure was implemented. The PHQ-2 questionnaire was used for screening for depression. A comparison was made between the rate of patients diagnosed with depression before and after the introduction of the measure.

Results: No significant statistical difference was found in the diagnosis rate of post-stroke depression, before and after the quality measure of screening for depression was implemented. The results of the PHQ-2 questionnaire were found to be consistent with depression diagnosis.

Conclusions: Screening for depression after stroke using the PHQ-2 questionnaire has not changed the diagnosis rate of depression in the Jewish or Arab elderly population. The quality measure performed during 2016-2019 had no additive value for the diagnosis of depression at the geriatric rehabilitation units at Shoham Geriatric Hospital. In recent years many quality measures have been added to the daily tasks in different units increasing the already heavy work load of the medical staff. This study emphasizes the importance of measuring the added value of quality measures, to enable proper use of resources and to decrease feelings of frustration and burnout among the medical staff.

Scientific Publication
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