UMass Chan Affiliations
Department of Quantitative Health SciencesDocument Type
Journal ArticlePublication Date
2005-01-27Keywords
AdultAttitude of Health Personnel
Depression
Diagnosis, Differential
Female
Humans
Male
Middle Aged
New England
Physician's Practice Patterns
*Physician-Patient Relations
Primary Health Care
Quality Assurance, Health Care
Questionnaires
Sex Factors
Time Factors
Videotape Recording
*Women's Health
Biostatistics
Epidemiology
Health Services Research
Metadata
Show full item recordAbstract
PURPOSE: 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.Source
J Womens Health (Larchmt). 2004 Oct;13(8):919-25. Link to article on publisher's siteDOI
10.1089/jwh.2004.13.919Permanent Link to this Item
http://hdl.handle.net/20.500.14038/47597PubMed ID
15671707Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1089/jwh.2004.13.919
Scopus Count
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