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close relationship, before proper diagnosis and therapy is done, more informal consultation, level of trust

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- physicians deal with patients for too long, people go underdiagnosed for too long (because of stigma etc)

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easier to do if drugs are prescribed, compared to non-pharma treatment. They share with industry doctors. Patient sees doctor once a month, so they can refine the diagnosis. First, first line medicine, then questions are being asked, and the doctor understand if drug is being effect and might prescribe a secondary drug later (duration depends, but 3 months is average.)

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non pharma treatment is uncommon (not covered by insurer).

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specialty doctor has target about # of visits. And qualitative data is a problem to determine conditions

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if patient is stable

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possibility for patient to NOT take a next step. Maybe some patient get lost here

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specialty doctor sends data back to industry doctor

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specialty doctor sends data back to industry doctor

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data is not shared with the company in detail. just high level about disease, drugs to be taken etc. Also data shared with company is high level

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but they can still identify and refer. they dont want to issue that judgement

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doctor asks questions about relationships

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doctor asks questions about relationships

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20-30+ minutes. The visit has no time pressure

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need to see the patient more than once - 30+ minutes. Qualitative data - e.g. insomnia, relationship

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paid by employer, important in detecting, then refer to specialist. Employee MUST take a mental health check (+ general check) once a year. First screening through questionnaire + working hours from HR

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primary doctor doesn't have skills to diagnose

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primary doctor doesn't have skills to diagnose

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Patient showing signs of depression. May send to specialist.

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35 year old
Male
Urban
Working
No kids

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Doctor x diagnosis