Moore Simas Tiffany A, Flynn Michael P, Kroll-Desrosiers Aimee R, Carvalho Stephanie M, Levin Leonard L, Biebel Kathleen, Byatt Nancy
Departments of Obstetrics and Gynecology.
Psychiatry.
Clin Obstet Gynecol. 2018 Sep;61(3):573-590. doi: 10.1097/GRF.0000000000000360.
This systematic review searched 4 databases (PubMed/MEDLINE, Scopus, CINAHL, and PsychINFO) and identified 21 articles eligible to evaluate the extent to which interventions that integrate depression care into outpatient obstetric practice are feasible, effective, acceptable, and sustainable. Despite limitations among the available studies including marked heterogeneity, there is evidence supporting feasibility, effectiveness, and acceptability. In general, this is an emerging field with promise that requires additional research. Critical to its real-world success will be consideration for practice workflow and logistics, and sustainability through novel reimbursement mechanisms.
本系统评价检索了4个数据库（PubMed/MEDLINE、Scopus、CINAHL和PsychINFO），并确定了21篇符合条件的文章，以评估将抑郁症护理纳入门诊产科实践的干预措施在多大程度上是可行、有效、可接受和可持续的。尽管现有研究存在局限性，包括显著的异质性，但有证据支持其可行性、有效性和可接受性。总体而言，这是一个有前景的新兴领域，需要更多的研究。其在现实世界中取得成功的关键将是考虑实践工作流程和后勤保障，以及通过新颖的报销机制实现可持续性。
