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The epidemiology and natural history of depressive disorders in Hong Kong's primary care
Authors
AJ Mitchell
Australian Bureau of Statistics
+30 more
Billy CF Chiu
Cindy LK Lam
CK Cheung
CLK Lam
CLK Lam
CM Cheng
D Kessler
Daniel YT Fong
H-M Vasiliadis
JJ McDermott
JM Gunn
JM Zich
Josephine WS Wong
K Zoberi
Kit TY Chan
L Culpepper
LS Radolff
Peter WH Lee
RL Spitzer
S Gilbody
S Lee
Samuel YS Wong
SB Patten
Tai Pong Lam
The MaGPIe Research Group
W Katon
Weng Yee Chin
WW Huang
XM Tu
Yvonne YC Lo
Publication date
1 January 2011
Publisher
BioMed Central
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on
PubMed
Abstract
Background: Depressive disorders are commonly managed in primary care and family physicians are ideally placed to serve as central providers to these patients. Around the world, the prevalence of depressive disorders in patients presenting to primary care is between 10-20%, of which around 50% remain undiagnosed. In Hong Kong, many barriers exist preventing the optimal treatment and management of patients with depressive disorders. The pathways of care, the long term outcomes and the factors affecting prognosis of these patients requires closer examination. Methods/Design. The aim of this study is to examine the prevalence, incidence and natural history of depressive disorders in primary care and the factors influencing diagnosis, management and outcomes using a cross-sectional study followed by a longitudinal cohort study. Doctors working in primary care settings across Hong Kong have been invited to participate in this study. On one day each month over twelve months, patients in the doctor's waiting room are invited to complete a questionnaire containing items on socio-demography, co-morbidity, family history, previous doctor-diagnosed mental illness, recent mental and other health care utilization, symptoms of depression and health-related quality of life. Following the consultation, the doctors provide information regarding presenting problem, whether they think the patient has depression, and if so, whether the diagnosis is new or old, and the duration of the depressive illness if not a new diagnosis. If the doctor detects a depressive disorder, they are asked to provide information regarding patient management. Patients who consent are followed up by telephone at 2, 12, 26 and 52 weeks. Discussion. The study will provide information regarding cross-sectional prevalence, 12 month incidence, remission rate, outcomes and factors affecting outcomes of patients with depressive disorders in primary care. The epidemiology, outcomes, pathways of care, predictors for prognosis and service needs for primary care patients with depressive disorders will be described and recommendations made for policy and service planning. © 2011 Chin et al; licensee BioMed Central Ltd.published_or_final_versio
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info:doi/10.1186%2F1471-2296-1...
Last time updated on 18/03/2019
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oai:hub.hku.hk:10722/151759
Last time updated on 01/06/2016