原创力文档multiple barriers against successful care provision for depressed patients in general internal medicine in a japanese rural hospital a cross-sectional study多个障碍对成功的保障条款抑郁症患者通常在日本农村医院内科的横断面研究.pdfVIP
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multiple barriers against successful care provision for depressed patients in general internal medicine in a japanese rural hospital a cross-sectional study多个障碍对成功的保障条款抑郁症患者通常在日本农村医院内科的横断面研究
Ohtsuki et al. BMC Psychiatry 2010, 10:30
/1471-244X/10/30
R E S E A R C H A R T I C L E Open Access
Research article
Multiple barriers against successful care provision
for depressed patients in general internal medicine
in a Japanese rural hospital: a cross-sectional study
1 1,2 3 1 4 5
Tsuyuka Ohtsuki , Masatoshi Inagaki* , Yuetsu Oikawa , Akiyoshi Saitoh , Mie Kurosawa , Kumiko Muramatsu 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 diagno
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