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Titolo:
MEETING THE NEEDS OF PRIMARY-CARE PHYSICIANS - A GUIDE TO CONTENT FORPROGRAMS ON DEPRESSION
Autore:
WILLIAMS JW; BHOGTE M; FLINN JF;
Indirizzi:
AMBULATORY CARE 11C-6,7400 MERTON MINTER BLVD SAN ANTONIO TX 78284 S TEXAS VET HLTH CARE SYST SAN ANTONIO TX 00000 UNIV TEXAS,HLTH SCI CTR SAN ANTONIO TX 00000 BAYLOR COLL MED HOUSTON TX 77030
Titolo Testata:
International journal of psychiatry in medicine
fascicolo: 1, volume: 28, anno: 1998,
pagine: 123 - 136
SICI:
0091-2174(1998)28:1<123:MTNOPP>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
RANDOMIZED CLINICAL-TRIAL; LATE-LIFE DEPRESSION; GENERAL-PRACTITIONERS; ANTIDEPRESSANT TREATMENT; MENTAL-DISORDERS; MAJOR DEPRESSION; FAMILY MEDICINE; RECOGNITION; PREVALENCE; ILLNESS;
Keywords:
PRIMARY HEALTH CARE; DEPRESSIVE DISORDERS; EDUCATION; MEDICAL; PHYSICIANS PRACTICE PATTERNS; ATTITUDE OF HEALTH PERSONNEL;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Science Citation Index Expanded
Citazioni:
61
Recensione:
Indirizzi per estratti:
Citazione:
J.W. Williams et al., "MEETING THE NEEDS OF PRIMARY-CARE PHYSICIANS - A GUIDE TO CONTENT FORPROGRAMS ON DEPRESSION", International journal of psychiatry in medicine, 28(1), 1998, pp. 123-136

Abstract

Objective: The purpose of this article is to identify literature-based content for the design of educational programs on depression for practicing primary care physicians. Methods: A MEDLINE search was conducted of English-language medical literature published from 1982 through July 1997 for studies describing primary care physicians' knowledge, skills, practice patterns, and perceived barriers related to care of depressed patients. Studies focusing exclusively on residency training and those describing physician practices outside North America were excluded. Of 377 articles identified, forty met inclusion and exclusion criteria. Results: Recommendations for educational content were identified from the literature review. For recognition, educators should prioritize communication skills and strategies for the use of depression questionnaires. For diagnosis, practice interpreting symptoms in the medically ill, strategies for efficient diagnosis, and systematic approaches to assessing suicide risk should be emphasized. For treatment, greater attention to the therapeutic alliance, staged therapy, and strategies for improving medication adherence are indicated. Conclusions: There is a moderately well developed literature describing self-perceived and observed gaps in the current care for depression in primary care. Addressing the entire list of needs would take more time than practicing physicians are likely to have. An important challenge for educators is to design flexible programs based on individualized needs assessment or, when not possible, to prioritize the most generalizable needs.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 03:22:26