UMass Chan AffiliationsDepartment of Quantitative Health Sciences
Document TypeJournal Article
Attitude of Health Personnel
Physician's Practice Patterns
Primary Health Care
Quality Assurance, Health Care
Health Services Research
MetadataShow full item record
AbstractPURPOSE: To determine whether patient gender influences physicians' management of late-life major depression in older and younger elderly patients. METHODS: In 1996-2001, physician subjects viewed a professionally produced videotape vignette portraying an elderly patient meeting diagnostic criteria for major depression, then answered interviewer-administered questions about differential diagnosis and treatment. Patient gender and other characteristics were systematically varied in different versions of the videotape, but clinical content was held constant. This was a stratified random sample of 243 internists and family physicians with Veterans Health Administration (VA) or non-VA ambulatory care practices in the Northeastern United States. Outcomes were whether physicians followed a guideline-recommended management approach: treating with antidepressants or mental health referral or both and seeing the patient for follow-up within 2 weeks. RESULTS: Only 19% of physicians recommended treating depression (12% recommended antidepressants and 7% mental health referral), and 43% recommended follow-up within 2 weeks. Patient gender did not influence management recommendations in either younger old (67 year old) or older old (79 year old) patients (p > 0.12 for all comparisons). CONCLUSIONS: Gender disparities previously documented in the management of major conditions are not seen for the management of depression, a potentially stigmatized condition that does not require resource-intense interventions.
SourceJ Womens Health (Larchmt). 2004 Oct;13(8):919-25. Link to article on publisher's site
Permanent Link to this Itemhttp://hdl.handle.net/20.500.14038/47597
Related ResourcesLink to Article in PubMed
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