Implementing Technology-Supported Care for Depression and Alcohol Use Disorder in Primary Care in Colombia : Preliminary Findings
Les auteursPontificia Universidad Javeriana. Facultad de Medicina. Departamento de Epidemiología Clínica y Bioestadística
Torrey, William C.
Bartels, Sophia M.
Suárez Obando, Fernando
Martínez Camblor, Pablo
Uribe-Restrepo, José Miguel
Marsch, Lisa A.
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1075-2730 / 1557-9700 (Electrónico)
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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.
Lien vers la ressourcehttps://ps.psychiatryonline.org/doi/full/10.1176/appi.ps.201900457
OriginePsychiatric Services; (2020)
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