Nogueras Eva V, Hurtado María M, Flordelís Eva, García-Herrera José M, Morales-Asencio José M
Dr. Nogueras, Dr. Hurtado, Dr. Flordelís, and Dr. García-Herrera are with the Mental Health Unit, Regional University Hospital, Málaga, Spain. Dr. Morales-Asencio is with the Health Sciences Faculty, University of Málaga, Málaga. Marcela Horvitz-Lennon, M.D., and Kenneth Minkoff, M.D., are editors of this column.
Psychiatr Serv. 2017 Aug 1;68(8):759-761. doi: 10.1176/appi.ps.201700163. Epub 2017 Jul 3.
Depression is the most frequent psychiatric disorder in primary health care, and the evidence shows that there is suboptimal management by primary care practitioners, perhaps owing to difficulties in decision making. Because clinical guidelines can improve decision making and management, a clinical guideline to manage depression in primary health care was developed in adherence to the ADAPTE method and was implemented in the Málaga Primary Health Care District in Spain. This column reports on the guideline development process, which produced a set of resources to improve the quality of primary health care-based depression care in Spain.
抑郁症是初级卫生保健中最常见的精神障碍，证据表明初级保健从业者的管理并不理想，这可能是由于决策困难所致。由于临床指南可以改善决策和管理，因此遵循ADAPTE方法制定了一项初级卫生保健中抑郁症管理的临床指南，并在西班牙马拉加初级卫生保健区实施。本专栏报道了该指南的制定过程，该过程产生了一系列资源，以提高西班牙基于初级卫生保健的抑郁症护理质量。
