Unützer Jürgen, Park Mijung
Department of Psychiatry and Behavioral Sciences, University of Washington, 1959 NE Pacific Street 356560, Seattle, WA 98195-6560, USA.
Prim Care. 2012 Jun;39(2):415-31. doi: 10.1016/j.pop.2012.03.010.
Effective management of depression in the primary care setting requires a systematic, population-based approach, which entails systematic case finding and diagnosis, patient engagement and education, use of evidence-based treatments, including medications and/or psychotherapy, close follow-up to ensure patients are improving, and a commitment to adjust treatments or consult with mental health specialists until depression is significantly improved. Programs in which primary care providers and mental health specialists collaborate effectively using principles of measurement-based stepped care and treatment to target can substantially improve patients' health and functioning while reducing overall health care costs.
在初级保健环境中有效管理抑郁症需要一种系统的、基于人群的方法，这包括系统的病例发现与诊断、患者参与和教育、使用循证治疗方法（包括药物治疗和/或心理治疗）、密切随访以确保患者病情好转，以及致力于调整治疗方案或咨询心理健康专家，直至抑郁症明显改善。在这些项目中，初级保健提供者和心理健康专家运用基于测量的分级护理和治疗原则进行有效协作，能够在降低总体医疗成本的同时，显著改善患者的健康状况和功能。
