Regaining Some Good in the World: What Matters to Persons Diagnosed as Depressed in Primary Care

Miraj U. Desai, F. Wertz, L. Davidson, A. Karasz
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引用次数: 3

Abstract

The identification and effective treatment of depression in primary care settings is at the forefront of current health care reform efforts in the United States. Historically, primary care services have accounted for the highest percentage of the prescription of psychiatric medications, especially antidepressants [1]. Yet primary care has typically lacked the appropriate mental health expertise to provide psychiatric care in an effective fashion. Through the combination of federal parity legislation passed in 2008 and the comprehensive health care reform efforts outlined in the 2010 Patient Protection and Affordable Care Act (ACA), this situation may change dramatically. As a result, primary care settings may begin to experience a significant influx of behavioral health professionals with appropriate training and expertise so that care for mental health and substance use disorders can be provided, in terms of both accessibility and effectiveness, on par with all other medical care [2,3].
在世界上重新获得一些好处:对在初级保健中被诊断为抑郁症的人来说,什么很重要
在初级保健机构中识别和有效治疗抑郁症是当前美国医疗改革努力的前沿。从历史上看,初级保健服务占精神病药物处方的比例最高,尤其是抗抑郁药[1]。然而,初级保健通常缺乏适当的精神卫生专业知识,无法以有效的方式提供精神病学护理。通过2008年通过的联邦平价立法和2010年《患者保护和平价医疗法案》(ACA)中概述的全面医疗改革努力的结合,这种情况可能会发生巨大变化。因此,初级保健机构可能会开始大量涌入经过适当培训和专业知识的行为健康专业人员,以便在可及性和有效性方面提供与所有其他医疗保健相同的精神健康和物质使用障碍护理[2,3]。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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