初级保健
萧条(经济学)
心理干预
医学
临床实习
护理部
精神科
重症监护医学
家庭医学
宏观经济学
经济
作者
Erin Ferenchick,Parashar Pravin Ramanuj,Harold Alan Pincus
出处
期刊:BMJ
[BMJ]
日期:2019-04-08
卷期号:: l794-l794
被引量:67
摘要
Abstract Depression is a common and heterogeneous condition with a chronic and recurrent natural course that is frequently seen in the primary care setting. Primary care providers play a central role in managing depression and concurrent physical comorbidities, and they face challenges in diagnosing and treating the condition. In this two part series, we review the evidence available to help to guide primary care providers and practices to recognize and manage depression. In this first of two reviews, we outline an approach to screening and diagnosing depression in primary care that evaluates current evidence based guidelines and applies the recommendations to clinical practice. The second review presents an evidence based approach to the treatment of depression in primary care, detailing the recommended lifestyle, drug, and psychological interventions at the individual level. It also highlights strategies that are being adopted at an organizational level to manage depression more effectively in primary care.
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