Meeting the needs of primary care physicians : A guide to content for programs on depression.
Effective Educational Techniques for Primary Care Providers : Application to the Management of Psychiatric Disorders. Conference. Hanover, NH, USA, 1997/06/27.
The purpose of this article is to identify literature-based content for the design of educational programs on depression for practicing primary care physicians.
A MEDLINE search was conducted of English-language medical literature published from 1982 through July 1997 for studies describing primary care physicians'knowledge, skills, practice patterns, and perceived barriers related to care of depressed patients.
Studies focusing exclusively on residency training and those describing physician practices outside North America were excluded.
Of 377 articles identified, forty met inclusion and exclusion criteria.
Recommendations for educational content were identified from the literature review.
For recognition, educators should prioritize communication skills and strategies for the use of depression questionnaires.
For diagnosis, practice interpreting symptoms in the medically ill, strategies for efficient diagnosis, and systematic approaches to assessing suicide risk should be emphasized.
For treatment, greater attention to the therapeutic alliance, staged therapy, and strategies for improving medication adherence are indicated.
There is a moderately well developed literature describing self-perceived and observed gaps in the current care for depression in primary care.
Addressing the entire list of needs would take more time than practicing physicians are likely to have. (...)
Mots-clés Pascal : Formation permanente, Médecin généraliste, Soin santé primaire, Programme enseignement, Trouble psychiatrique, Etat dépressif, Diagnostic, Traitement, Article synthèse, Personnel sanitaire, Homme, Trouble humeur
Mots-clés Pascal anglais : Continuing education, General practitioner, Primary health care, Educational program, Mental disorder, Depression, Diagnosis, Treatment, Review, Health staff, Human, Mood disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0440495
Code Inist : 002B30A09. Création : 25/01/1999.