We developed a comprehensive, 20-hour training programme for primary-care physicians, that sought to improve their ability to detect, diagnose and manage depression.
We evaluated the effects of physician training on patient outcomes, using a pre-post design.
In the pre-training phase of the study, we sampled 1834 consecutive patients of 17 primary-care physicians and evaluated 518 of these patients for the presence of depression.
We measured outcomes of all patients with depression at 3 months and 1 year.
Severity of psychopathology ; duration of depressive episode ; and level of daily functioning.
After the 17 physicians completed the training, we drew a new sample from their practices (498 of 1785 consecutive patients were evaluated for depression) and measured outcomes for the depressed patients.
We found an effect of the training on short-term outcome, particularly for patients with a recent-onset depression.
At 3-month follow-up depressed patients whose physicians had received training had less severe psychopathology and patients with recent-onset depression also showed higher levels of daily functioning than patients of the same physicians prior to the training.
The patients with a recent-onset depression that was recognized by trained physicians had shorter depressive episodes, but this was not statistically significant.
At 1-year follow-up, all training effects had faded away. (...)
Mots-clés Pascal : Etat dépressif, Soin santé primaire, Médecin généraliste, Personnel sanitaire, Formation professionnelle, Diagnostic, Traitement, Pronostic, Efficacité traitement, Santé mentale, Environnement social, Pays Bas, Europe, Homme, Trouble humeur
Mots-clés Pascal anglais : Depression, Primary health care, General practitioner, Health staff, Occupational training, Diagnosis, Treatment, Prognosis, Treatment efficiency, Mental health, Social environment, Netherlands, Europe, Human, Mood disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0398130
Code Inist : 002B18H04. Création : 22/03/2000.