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[治疗抑郁症的创新护理模式]

[Innovative care models for treating depression].

作者信息

Klesse C, Bermejo I, Härter M

机构信息

Abteilung Psychiatrie und Psychotherapie, Sektion Klinische Epidemiologie und Versorgungsforschung, Universitätsklinikum, Hauptstrasse 5, 79104 Freiburg.

出版信息

Nervenarzt. 2007 Nov;78 Suppl 3:585-94; quiz 595. doi: 10.1007/s00115-007-2368-z.

Abstract

Depressive disorders rank among the widespread diseases, and their relevance for the health care system is steadily increasing. Even though depressive disorders can generally be treated well, there is a further need to improve the care for depressive patients with regard to diagnostics, therapy, and cooperation of care sectors. Innovative and integrative models of care such as case management, disease management programs, and integrated care models are currently being discussed. They are expected to be useful in overcoming boundaries in the current care system and amending the course of disease and of patients' quality of life. Furthermore, changes in utilization of the health system are anticipated, leading to a diminishment of deficient care, undersupply and oversupply, and chronification. However, evidence is lacking to demonstrate the usefulness of these models of care in Germany now.

摘要

抑郁症是常见疾病之一,其对医疗保健系统的重要性正与日俱增。尽管抑郁症总体上通常能够得到良好治疗,但在诊断、治疗以及各医疗部门协作方面,仍有进一步改善抑郁症患者护理的需求。目前正在讨论一些创新型和综合性护理模式,如病例管理、疾病管理项目以及综合护理模式。预计这些模式将有助于打破当前护理系统中的界限,并改善疾病进程和患者生活质量。此外,预计卫生系统的利用情况也会发生变化,从而减少护理不足、供应不足和供应过剩以及疾病慢性化的情况。然而,目前在德国尚缺乏证据证明这些护理模式的有效性。

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