Treatment Decision-Making Preferences of Older Depressed Minority Primary Care Patients.
Treatment Decision-Making Preferences of Older Depressed Minority Primary Care Patients.
复制标题
老年抑郁少数初级保健患者的治疗决策偏好。
DOI：
10.1007/s10597-022-01055-0
复制
发表时间：
2023
影响因子：
2.7
通讯作者：
Raue,PatrickJ
中科院分区：
文献类型：
--
作者：
Romero,SaraA;Rasmussen,Andrew;Raue,PatrickJ
很少有研究调查了年龄较大、种族和民族不同的少数族裔未接受治疗的抑郁症患者的决策偏好。该研究的目的是确定决策偏好以及在一般医疗和抑郁症治疗决策过程中与更积极的偏好相关的特征。我们评估了201名未经治疗的老年初级保健抑郁症患者在制定一般医疗和抑郁症治疗决策时的偏好参与。线性回归检验了社会人口学和临床特征与两种决策类型的决策偏好的关系。大多数患者倾向于共同决策一般医疗和抑郁症治疗。女性在抑郁症治疗中更倾向于积极决策。在这个样本中，老年抑郁症患者更倾向于与医生共同承担决策责任。为了改善沟通和精神卫生保健的启动和坚持，医生必须考虑到老年人，少数民族患者参与决策过程的偏好。
Little research examined the decision-making preferences of older, racially and ethnically diverse minority patients with untreated depression. The study’s aims were to identify decision-making preferences and the characteristics associated with a more active preference in the decision-making process for general medical and depression treatment decisions. We assessed the preferred involvement in making general medical and depression treatment decisions of 201 older primary care patients with untreated depression. Linear regressions examined the association of sociodemographic and clinical characteristics with decision-making preference for both decision types. Majority of patients preferred shared decision-making for general medical and depression treatments. Female gender was associated with a preference for active decision-making for depression treatment. For this sample older depressed patients preferred sharing the decision-making responsibilities with physicians. To improve communication and the initiation and adherence to mental health care, physicians must consider older, minority patients’ preferences for involvement in the decision-making process.