Race, quality of depression care, and recovery from major depression in a primary care setting
Race, quality of depression care, and recovery from major depression in a primary care setting
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DOI：
10.1016/s0163-8343(02)00219-0
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发表时间：
2002-11-01
影响因子：
7
通讯作者：
Schulberg, HC
中科院分区：
文献类型：
--
作者：
Rollman, BL;Hanusa, BH;Schulberg, HC
Racial variations in the use of effective medical care and subsequent clinical outcomes have been identified for many medical conditions. Still, it is unclear whether racial variations in care and clinical outcomes exist for depressed primary care patients. Primary care patients presenting for routine treatment were screened for major depression as part of a study to disseminate a depression treatment guideline. Primary care physicians (PCPs) were informed of their patients' depression via an electronic medical record system and asked whether they agreed with the diagnosis. Treatment patterns and depressive symptoms over the following six-months were assessed by chart review and the Hamilton Rating Scale for Depression, respectively. Over a 20-month period, 8,944 African-American and Caucasian patients aged 18-64 were approached for screening. African-Americans were less likely to agree to undergo screening than Caucasians (83% vs. 88%; P
