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Báo cáo y học: " Multiple barriers against successful care provision for depressed patients in general internal medicine in a Japanese rural hospital: a cross-sectional study"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Multiple barriers against successful care provision for depressed patients in general internal medicine in a Japanese rural hospital: a cross-sectional study | Ohtsuki et al. BMC Psychiatry 2010 10 30 http www.biomedcentral.com 1471-244X 10 30 BMC Psychiatry RESEARCH ARTICLE Open Access Multiple barriers against successful care provision for depressed patients in general internal medicine in a Japanese rural hospital a cross-sectional study Tsuyuka Ohtsuki 1 Masatoshi Inagaki 1 2 Yuetsu Oikawa3 Akiyoshi Saitoh1 Mie Kurosawa4 Kumiko Muramatsu5 and Mitsuhiko Yamada1 Abstract Background A general internist has an important role in primary care especially for the elderly in rural areas of Japan. Although effective intervention models for depressed patients in general practice and primary care settings have been developed in the US and UK medical systems there is little information regarding even the recognition rate and prescription rate of psychotropic medication by general internists in Japan. The present study surveyed these data cross-sectionally in a general internal medicine outpatient clinic of a Japanese rural hospital. Methods Patients were consecutively recruited and evaluated for major depressive disorder or any mood disorder using the Patient Health Questionnaire PHQ . Physicians who were blinded to the results of the PHQ were asked to diagnose whether the patients had any mental disorders and if so whether they had mood disorders or not. Data regarding prescription of psychotropic medicines were collected from medical records. Results Among 312 patients 27 8.7 and 52 16.7 were identified with major depressive disorder and any mood disorder using the PHQ respectively. Among those with major depressive disorder 21 77.8 were recognized by physicians as having a mental disorder but only three 11.1 were diagnosed as having a mood disorder. Only two patients with major depressive disorder 7.4 had been prescribed antidepressants. Even among those n 15 whom physicians diagnosed with a mood disorder irrespective of the PHQ results only four 26.7 were prescribed an antidepressant. Conclusions Despite a high prevalence of .