Care for depression in HMO patients aged 65 and older.
J Am Geriatr Soc
; 48(8): 871-8, 2000 Aug.
Article
en En
| MEDLINE
| ID: mdl-10968289
ABSTRACT
OBJECTIVE:
To examine treatment for depression among older adults in a large staff model health maintenance organization (HMO).DESIGN:
A 4-year prospective cohort study (1989-1993).SETTING:
Four primary care clinics of a large staff model HMO in Seattle, Washington. PATIENTS A total of 2558 Medicare enrollees aged 65 and older. MAIN OUTCOMEMEASURES:
Treatment of depression was defined as primary care visits resulting in depression diagnoses, use of antidepressant medications, or specialty mental health services. MAINRESULTS:
The older adults in our sample had low rates of treatment for depression, ranging from 4 to 7% in the entire sample and from 12 to 25% among those with probable depressive disorders. Predictors of treatment included female gender, severity, and persistence of depressive symptoms, and severity of comorbid medical illness. Even when patients were treated for depression, the intensity of treatment was very low. Overall likelihood of treatment for depression increased somewhat from 1989 to 1993, but among those treated, the rate of adequate antidepressant use remained below 30%.CONCLUSIONS:
There is still considerable need to improve care for older adults with depression in primary care.
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Base de datos:
MEDLINE
Asunto principal:
Atención Primaria de Salud
/
Sistemas Prepagos de Salud
/
Depresión
/
Trastorno Depresivo
/
Servicios de Salud Mental
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
País/Región como asunto:
America do norte
Idioma:
En
Revista:
J Am Geriatr Soc
Año:
2000
Tipo del documento:
Article
País de afiliación:
Estados Unidos