Percentage of Primary Care Physician Office Visits that Include Depression Screening

Depression affects 1 in 10 U.S. adults. People with depression have higher rates of chronic conditions such as obesity and diabetes, increased work absenteeism, short-term disability, and decreased productivity. Early screening is important because symptoms usually improve with treatment and therapy.

Data Source: National Ambulatory Medical Care Survey (NAMCS)

Metrics Calculation

All data were derived from the National Ambulatory Medical Care Survey (NAMCS). Data are gathered about physicians through in-person interviews, and about visits by abstracting information from the visit record. Assumptions were made that if Medicaid or Medicare were selected as an expected payment source then they would be the primary source of payment. If a visit had Medicaid or Medicare as payment type, then the individual's insurance was coded as either Medicaid or Medicare (even if other private insurance was listed). Only 4% of Medicaid recipients listed private insurance as another payment source; whereas approximately 45% of Medicare recipients listed private insurance as another payment source. If both Medicare and Medicaid were listed as payment type, then the individual was coded as dual eligible. Numerator: All visits to physicians in the specialties of general/family practice, internal medicine, pediatrics, and obstetrics/gynecology for which depression screening was ordered or provided at the visit. Denominator: All visits to office-based physicians in the specialties of general/family practice, internal medicine, pediatrics, and obstetrics/gynecology.

Additional Information

Inclusion Criteria: NAMCS limits providers to the 50 states and the District of Columbia. Visits to physicians in primary care specialties are included.

Exclusion Criteria: NAMCS excludes visits to physicians in the specialties of anesthesiology, pathology, and radiology.

Visits to Nurse Practitioners, Certified Nurse Midwives and Physician Assistants in Community Health Centers were gathered beginning in 2006 but were excluded from this analysis to allow for trends including 2005 data.

 

Missing Data: Due to small sample sizes and the reliability of some estimates, data is not available for all years for all population categories displayed on this page.

 

This measure is calculated by the CDC/NCHS/DHCS from the National Ambulatory Medical Care Survey (NAMCS) data.

{dataset.metadata.custom_fields.ASPE.Chart Title}

Percentage of Primary Care Physician Office Visits that Include Depression Screening

{dataset.metadata.custom_fields.ASPE.Chart Title}

Percentage of Primary Care Physician Office Visits that Include Depression Screening by Coverage Overview

( Measure 26 : Percentage of Primary Care Physician Office Visits that Included Depression Screening | Coverage Type and Metric

Assumptions were made that if Medicaid or Medicare were selected as an expected payment source then they would be the primary source of payment. If a visit had Medicaid or Medicare as payment type, then the individual's insurance was coded as either Medicaid or Medicare (even if other private insurance was listed). Only 4% of Medicaid recipients listed private insurance as another payment source; whereas approximately 45% of Medicare recipients listed private insurance as another payment source. If both Medicare and Medicaid were listed as payment type, then the individual was coded as dual eligible.

Percentage of Primary Care Physician Office Visits that Included Depression Screening among those with Medicare Coverage

Percentage of Primary Care Physician Office Visits that Include Depression Screening by Medicare Coverage

26- Medicare Coverage

Assumptions were made that if Medicaid or Medicare were selected as an expected payment source then they would be the primary source of payment. If a visit had Medicaid or Medicare as payment type, then the individual's insurance was coded as either Medicaid or Medicare (even if other private insurance was listed). Only 4% of Medicaid recipients listed private insurance as another payment source; whereas approximately 45% of Medicare recipients listed private insurance as another payment source. If both Medicare and Medicaid were listed as payment type, then the individual was coded as dual eligible.

{dataset.metadata.custom_fields.ASPE.Chart Title}

Percentage of Primary Care Physician Office Visits that Include Depression Screening by Age Group

Measure 26 : Percentage of Primary Care Physician Office Visits that Included Depression Screening | Age Group

{dataset.metadata.custom_fields.ASPE.Chart Title}

Percentage of Primary Care Physician Office Visits that Include Depression Screening by Number of Chronic Conditions

Measure 26 : Percentage of Primary Care Physician Office Visits that Included Depression Screening | Number of Chronic Conditions

For more information on how chronic conditions were defined, please see the Glossary under Help.

{dataset.metadata.custom_fields.ASPE.Chart Title}

Percentage of Primary Care Physician Office Visits that Include Depression Screening by Region

Measure 26 : Percentage of Primary Care Physician Office Visits that Included Depression Screening | Region

For more information on how regions are defined, please see the Glossary under Help.

The green lines in the chart below indicate the value +/- the standard error. The lower and upper standard error values can be seen in the table view. For more information on standard errors, please see the Glossary under Help.

{dataset.metadata.custom_fields.ASPE.Chart Title}

Percentage of Primary Care Physician Office Visits that Include Depression Screening by Sex

Measure 26 : Percentage of Primary Care Physician Office Visits that Included Depression Screening | Sex