一家联邦合格社区健康中心的抑郁症筛查率。
The Rate of Depression Screening at a Federally Qualified Community Health Center.
作者信息
Maimone Richard M, Marhatta Asha
机构信息
Connecticut Institute For Communities (CIFC), Danbury, CT, USA.
Director of the Internal Medicine Residency Program, CIFC Greater Danbury Community Health Center, Danbury, CT, USA.
出版信息
Health Serv Res Manag Epidemiol. 2015 Oct 19;2:2333392815613057. doi: 10.1177/2333392815613057. eCollection 2015 Jan-Dec.
PURPOSE
The purpose of this study is to examine the rate of depression screening among patients, aged 19 and older, seen at a community health center, while referencing to US Preventive Services Task Force (USPSTF) screening recommendations.
METHODS
A random sample of 500 patients, aged 19 and older, were extracted from the total number of patients seen at the community health center, between December 1, 2013, and April 30, 2014. The rate of depression screening was calculated by analyzing the completed standardized screening questionnaires (Patient Health Questionnaire 2).
RESULTS
On analysis, it was found that 14.6% of patients were screened for depression. The rate of screening for males was 8.4% and for females it was 17.5%. The race with the highest rate of screening was Asian at 23.2%, and the lowest rate was white at 12.8%.
CONCLUSION
The studied community health center had a suboptimal rate of depression screening at 14.6%. The USPSTF recommends depression screening on all adults. Addressing barriers to screening including patient education, provider education, system practices, and provision of resources may help improve the rate of depression screening, leading to early treatment and better health outcomes.
目的
本研究旨在调查一家社区健康中心19岁及以上患者的抑郁症筛查率，同时参考美国预防服务工作组（USPSTF）的筛查建议。
方法
从2013年12月1日至2014年4月30日期间在该社区健康中心就诊的患者总数中随机抽取500名19岁及以上的患者。通过分析已完成的标准化筛查问卷（患者健康问卷2）来计算抑郁症筛查率。
结果
经分析发现，14.6%的患者接受了抑郁症筛查。男性筛查率为8.4%，女性为17.5%。筛查率最高的种族是亚洲人，为23.2%，最低的是白人，为12.8%。
结论
所研究的社区健康中心抑郁症筛查率为14.6%，未达最佳水平。USPSTF建议对所有成年人进行抑郁症筛查。解决筛查障碍，包括患者教育、医护人员教育、系统实践和提供资源，可能有助于提高抑郁症筛查率，从而实现早期治疗并改善健康状况。
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