A population-based approach to the management of depression in a patient-centered medical home  

作　　者：Kenneth Kushner Gwynneth Schell 

机构地区：[1]Department of Family Medicine,University of Wisconsin and Wingra Access Family Medical Center,Madison,Wisconsin,USA [2]Department of Counseling Psychology,University of Wisconsin and Access Community Health Centers,Madison,Wisconsin,USA

出　　处：《Family Medicine and Community Health》2015年第1期47-52,共6页家庭医学与社区卫生（英文）

摘　　要：Objective:This article describes the implementation of a population-based strategy to man-age depression in a patient-centered medical home.Methods:Review of English language articles;description of specific protocols utilized in one medical home.Results:Depression is a global concern estimated to affect 350 million people worldwide.Rates for depression vary between the United States and the Peoples’Republic of China,possibly due to significant factors in under diagnosis of this often hidden burden.Given the comorbidity of depres-sion with other health factors and the need for ongoing monitoring and care of this chronic illness,primary care has become a significant part of treatment interventions.Utilizing electronic health records(EHR),our strategy included the creation of a patient registry;selection of evidence-based treatment guidelines and protocols for point of care procedures;patient outreach and screening.Conclusion:The population-based program we outline is highly dependent on the EHR and the flexibility of roles and responsibilities of clinical staff.Further investigation is warranted into improved patient outcomes.

关 键 词：DEPRESSION patient-centered medical home population health 

分 类 号：R73[医药卫生—肿瘤]