Reducing health disparities in depressive disorders outcomes between non-hispanic whites and ethnic minorities - A call for pragmatic strategies over the life course

被引:50
作者
Van Voorhees, Benjamin W. [1 ]
Walters, Amy E. [1 ]
Prochaska, Micah [1 ]
Quinn, Michael T. [1 ]
机构
[1] Univ Chicago, Chicago, IL 60637 USA
关键词
depressive disorders; disparities; treatment; health services;
D O I
10.1177/1077558707305424
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
There are significant disparities in treatment process and symptomatic and functional outcomes in depressive disorders for racial and ethnic minority patients. Using a life-course perspective, the authors conducted a systematic review of the literature to identify modifiable mechanisms and effective interventions for prevention and treatment at specific points-system, community, provider, and individual patient-in health care settings. Multicomponent chronic disease management interventions have produced improvements in depression outcomes for ethnic minority populations. Case management appears to be a key component of effective interventions. Socioculturally tailored treatment and prevention interventions may be more efficacious than standard treatment programs. Future research should focus on identifying key components of case management and sociocultural tailoring that are essential for effective interventions and developing new low-cost dissemination mechanisms for treatment and preventive programs that could be tailored to racial and ethnic minorities.
引用
收藏
页码:157S / 194S
页数:38
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