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初级保健医生对抑郁症患者管理的看法。

Primary care physician perspective on management of patients with depression.

作者信息

Ford Daniel E

机构信息

Johns Hopkins University School of Medicine, Suite 2-500 (Room 2-518), 2024 East Monument St., Baltimore, MD, 21287-0007, USA.

出版信息

J Manag Care Pharm. 2006 Mar;12(2 Suppl):10-3. doi: 10.18553/jmcp.2006.12.S2-A.S10.

DOI:10.18553/jmcp.2006.12.S2-A.S10
PMID:16623602
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10437834/
Abstract

OBJECTIVE

To discuss the relationship between the primary care physician and other health care professionals and best practice strategies in the management of depression.

SUMMARY

Useful chronic clinical models can transform a visit between a patient with depression and the primary care provider from an unfocused encounter to one that is anticipated, planned, and productive. With the proper decision and organizational support to manage their patients with depression, primary care providers will have the increased confidence to treat these patients and have more knowledge about the treatment plan, whether that is a referral or continuation of treatment in the provider.s office.

CONCLUSION

The primary care provider must recognize that he or she cannot work alone. In addition to decision support and clinical information systems, there needs to be a delivery system that supports a depression care manager and identifies the patient as the key player in the system. Participation and cooperation by the entire health care system will determine the success of such depression care models.

摘要

目的

探讨初级保健医生与其他医疗保健专业人员之间的关系以及抑郁症管理中的最佳实践策略。

总结

有用的慢性临床模型可以将抑郁症患者与初级保健提供者之间的就诊从无重点的接触转变为有预期、有计划且富有成效的接触。在适当的决策和组织支持下管理抑郁症患者,初级保健提供者将更有信心治疗这些患者,并对治疗计划有更多了解,无论该计划是转诊还是在提供者办公室继续治疗。

结论

初级保健提供者必须认识到他或她不能独自工作。除了决策支持和临床信息系统外,还需要一个支持抑郁症护理经理并将患者确定为系统关键参与者的提供系统。整个医疗保健系统的参与和合作将决定此类抑郁症护理模式的成功。

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引用本文的文献

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Management of treatment-resistant depression in primary care: a mixed-methods study.基层医疗中治疗抵抗性抑郁症的管理:一项混合方法研究。
Br J Gen Pract. 2018 Oct;68(675):e673-e681. doi: 10.3399/bjgp18X699053.
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Conditions that influence a primary care clinician's decision to refer patients for depression care.影响基层医疗临床医生决定将患者转诊至抑郁症治疗机构的因素。
Rehabil Nurs. 2010 May-Jun;35(3):113-22. doi: 10.1002/j.2048-7940.2010.tb00286.x.
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Depression symptomatology and diagnosis: discordance between patients and physicians in primary care settings.抑郁症症状学与诊断:初级保健机构中患者与医生之间的不一致
BMC Fam Pract. 2008 Jan 3;9:1. doi: 10.1186/1471-2296-9-1.