Implementing Technology-Supported Care for Depression and Alcohol Use Disorder in Primary Care in Colombia : Preliminary Findings
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Fecha
2020-03-10Autor(es)
Torrey, William C.Cepeda, Magda
Castro, Sergio
Bartels, Sophia M.
Cubillos, Leonardo
Suárez Obando, Fernando
Martínez Camblor, Pablo
Uribe-Restrepo, José Miguel
Williams, Makeda
Gómez-Restrepo, Carlos
Marsch, Lisa A.
Autor(es) Corporativo(s)
Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Epidemiología Clínica y Bioestadística
Tipo
Artículo de revista
ISSN
1075-2730 / 1557-9700 (Electrónico)
Páginas
1-6
Tipo de artículo
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Abstract
Objective: Depression and alcohol use disorder are among
the most common causes of disability and death worldwide.
Health care systems are seeking ways to leverage technology
to screen, evaluate, and treat these conditions, because
workforce interventions alone, particularly in low- and
middle-income countries, are insufficient. This article reports
data from the first year of implementation of a
technology-supported, systematic approach to identify and
care for persons with these disorders in primary care in
Colombia.
Methods: A care process that includes waiting room kiosks
to screen primary care patients, decision support tablets to
guide doctors in diagnosis and treatment, and access to
digital therapeutics as a treatment option was implemented
in two primary care clinics, one urban and one in a small
town. The project collected data on the number of people
screened, diagnosed, and engaged in the research and their
demographic characteristics.
Results: In the first year, 2,656 individuals were screened for
depression and unhealthy alcohol use in the two clinics.
Primary care doctors increased the percentage of patients
diagnosed as having depression and alcohol use disorder
from next to 0% to 17% and 2%, respectively.
Conclusions: Early experience with implementing
technology-supported screening and decision support for
depression and alcohol use disorder into theworkflowof busy
primary care clinics in Colombia indicates that this caremodel
is feasible and leads to dramatically higher rates of diagnoses
of these conditions. Diagnosis in these settings appeared to
be easier for depression than for alcohol use disorder.
Cobertura espacial
ColombiaEnlace al recurso
https://ps.psychiatryonline.org/doi/full/10.1176/appi.ps.201900457Fuente
Psychiatric Services; (2020)
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