西班牙卫生系统中抑郁障碍的检测和治疗：批判性评价。
Detection and treatment of depressive disorder in the spanish health system: a critical review.
机构信息
Health Research Institute of the Balearic Islands (IdISBa). University Institute of Health Science Research (IUNICS). University of the Balearic Islands (UIB).
University Institute of Health Science Research (IUNICS). University of the Balearic Islands (UIB).
出版信息
Actas Esp Psiquiatr. 2022 Jul;50(4):187-195. Epub 2022 Jul 1.
Health care for depression is a major challenge. The aim of this review is to capture the status of the detection, diagno- sis and treatment of depression in the Spanish public health system. The data from the latest National Health Survey (ENSE 2017) have been analyzed and a non-systematic search for publications has been carried out in the PubMed and Scopus databases. We highlight the high specificity and low sensitivity in the detection of cases of major depression by Primary Care (PC) physicians in Spain. The detection of depression is supe- rior in specialized care compared to PC. The new healthcare systems based on the shared approach and the hierarchical model of screening, diagnosis and referral are reviewed and we present improvement proposals based on various programs and models of healthcare for depression.
抑郁症的医疗保健是一个重大挑战。本综述旨在了解西班牙公共卫生系统中抑郁症的检测、诊断和治疗现状。对最新的国家健康调查（ENSE 2017）的数据进行了分析，并在 PubMed 和 Scopus 数据库中对出版物进行了非系统性检索。我们强调了西班牙初级保健医生在检测重度抑郁症病例时的高特异性和低敏感性。与初级保健相比，专科护理对抑郁症的检测效果更好。我们回顾了基于共同方法和分层筛查、诊断和转诊模式的新医疗保健系统，并根据各种抑郁症医疗保健计划和模式提出了改进建议。
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