Management of Depression in Chronic Care Patients Using a Task-Sharing Approach in a Real-World Primary Health Care Setting in South Africa: Outcomes of a Cohort Study.
Depressive symptoms are common in South African primary care patients with chronic medical conditions, but are usually unrecognised and untreated. This study evaluated an integrated, task-sharing collaborative approach to management of depression comorbid with chronic diseases in primary health care...
| Publicado en: | Community Mental Health Journal Vol. 59; no. 7; pp. 1261 - 1275 |
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| Autores principales: | , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Oct2023
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=170081932&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 170081932 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00103853 CMH jtl: Community Mental Health Journal issn: 00103853 maglogo: N pubinfo: dt: Oct2023 vid: 59 iid: 7 pid: 237 pub: Springer Nature artinfo: ui: 170081932 10.1007/s10597-023-01108-y ppf: 1261 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P size: 637KB tig: atl: Management of Depression in Chronic Care Patients Using a Task-Sharing Approach in a Real-World Primary Health Care Setting in South Africa: Outcomes of a Cohort Study. aug: au: Kathree, Tasneem Bachmann, Max Bhana, Arvin Grant, Merridy Mntambo, Ntokozo Gigaba, Sithabisile Kemp, C. G. Rao, Deepa Petersen, Inge affil: School of Nursing and Public Health, University of KwaZulu-Natal, Howard College, Mazisi Kunene Road, 4001, Durban, South Africa School of Applied Human Sciences, University of KwaZulu-Natal, Howard College, Mazisi Kunene Road, 4001, Durban, South Africa Norwich Medical School, University of East Anglia, Norwich, Norfolk, UK Health Systems Research Unit, South African Medical Research Council, 491 Peter Mokaba Ridge Road, Overport, Durban, South Africa Department of international health, Johns Hopkins University, Baltimore, MD, USA Department of Global Health, Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, United States of America su: South Africa Diagnosis of mental depression Evaluation of medical care Evaluation of human services programs Counseling Chronic diseases Task performance Primary health care Mental depression Interprofessional relations Patient care Group process Mental health services Education of physicians HIV infections Antidepressants Primary nursing Comparative studies Medical referrals Questionnaires Integrated health care delivery Nurse practitioners Longitudinal method Outpatient services in hospitals Comorbidity Medical needs assessment Evaluation sug: subj: Diagnosis of mental depression Evaluation of medical care Evaluation of human services programs Counseling Chronic diseases Task performance Primary health care Mental depression Interprofessional relations Patient care Group process Mental health services South Africa Pharmaceutical and medicine manufacturing Medicinal and Botanical Manufacturing Other Individual and Family Services All Other Outpatient Care Centers Residential Mental Health and Substance Abuse Facilities Offices of Mental Health Practitioners (except Physicians) Psychiatric and Substance Abuse Hospitals Offices of Physicians (except Mental Health Specialists) Offices of physicians Education of physicians HIV infections Antidepressants Primary nursing Comparative studies Medical referrals Questionnaires Integrated health care delivery Nurse practitioners Longitudinal method Outpatient services in hospitals Comorbidity Medical needs assessment Evaluation keyword: Chronic disorders Depression Implementation science Integrated collaborative care Primary health Scale-up Chronic disorders Depression Implementation science Integrated collaborative care Primary health Scale-up ab: Depressive symptoms are common in South African primary care patients with chronic medical conditions, but are usually unrecognised and untreated. This study evaluated an integrated, task-sharing collaborative approach to management of depression comorbid with chronic diseases in primary health care (PHC) patients in a real-world setting. Existing HIV clinic counsellors provided a manualised depression counselling intervention with stepped-up referral pathways to PHC doctors for initiation of anti-depressant medication and/ or referral to specialist mental health services. Using a comparative group cohort design, adult PHC patients in 10 PHC facilities were screened with the Patient Health Questionnaire-9 with those scoring above the validated cut-off enrolled. PHC nurses independently assessed, diagnosed and referred patients. Referral for treatment was independently associated with substantial improvements in depression symptoms three months later. The study confirms the viability of task-shared stepped-up collaborative care for depression treatment using co-located counselling in underserved real-world PHC settings. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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