Shared decision-making in the primary care treatment of late-life major depression: a needed new intervention?

Shared decision-making in the primary care treatment of late-life major depression: a needed new intervention?
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DOI:
10.1002/gps.2444
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发表时间:
2010-11
影响因子:
4
通讯作者:
Bruce, Martha L.
Bruce, Martha L.
中科院分区:
医学2区
文献类型:
--
作者:
Raue, Patrick J.;Schulberg, Herbert C.;Lewis-Fernandez, Roberto;Boutin-Foster, Carla;Hoffman, Amy S.;Bruce, Martha L.

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We suggest that clinicians consider models of shared decision-making for their potential ability to improve the treatment of major depression in the primary care setting and overcome limitations of collaborative care and other interventions. We explore the characteristics and techniques of patient-clinician shared decision-making, with particular emphasis on this model’s relevance to the unique treatment concerns of depressed older adults. We describe a shared decision-making intervention to engage older adults in depression treatment in the primary care sector. It is timely to examine shared decision-making models for elderly depressed primary care patients given their potential ability to improve treatment adherence and clinical outcomes.
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