Patterns of Care for Depressed Older Adults in a Large-Staff Model HMO
1999; Elsevier BV; Volume: 7; Issue: 3 Linguagem: Inglês
10.1097/00019442-199908000-00008
ISSN1545-7214
AutoresJürgen Unützer, Wayne Katon, Joan Russo, Gregory E. Simon, Terry Bush, Edward A. Walker, Elizabeth Lin, Michael Van Korff, Evette Ludman,
Tópico(s)Schizophrenia research and treatment
ResumoThe authors examined automated pharmacy and visit data for 502 members of a large-staff model health maintenance organization (HMO) who had been diagnosed with depression and started on antidepressants by their primary-care providers. Older patients (age >/=60; n=110) were less likely than younger adults (age 18-59, n=110) to receive adequate doses of antidepressant medications for 30 or 90 days. Older adults were also less likely than younger adults to receive more than two primary-care visits for depression in the 12 weeks after receiving a new antidepressant prescription and were less likely to receive specialty mental health care in the 6 months after receiving a new antidepressant prescription.
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