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初级保健实践中管理老年期抑郁症：健康专家角色的案例研究

Managing late-life depression in primary care practice: a case study of the Health Specialist's role.

作者信息

Schulberg H C, Bryce C, Chism K, Mulsant B H, Rollman B, Bruce M, Coyne J, Reynolds C F

机构信息

Intervention Research Center for Late-Life Mood Disorders, Department of Psychiatry, University of Pittsburgh School of Medicine Pittsburgh, PA, USA.

出版信息

Int J Geriatr Psychiatry. 2001 Jun;16(6):577-84. doi: 10.1002/gps.470.

DOI:10.1002/gps.470
PMID:11424166
Abstract

Complexities in the diagnosis and treatment of late-life depression have stimulated various strategies for assisting the primary care physician to fulfil these tasks more effectively. The role of Health Specialist was developed for this purpose in a study to reduce suicidality among older depressed patients. This role includes clinical and case management tasks which aim to provide the physician with timely, patient-specific information and recommendations. Evolution of this role and its rewards/stressors during the study's first year are described.

摘要

老年抑郁症诊断和治疗中的复杂性促使人们采取各种策略，以协助初级保健医生更有效地完成这些任务。在一项旨在降低老年抑郁症患者自杀倾向的研究中，为此设立了健康专家这一角色。该角色包括临床和病例管理任务，旨在为医生提供及时、针对患者的信息和建议。本文描述了该角色在研究第一年中的演变及其回报/压力源。

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