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Evaluación sobre la efectividad del programa para la detección, diagnóstico y tratamiento integral de la Depresión en la Atención Primaria (Evaluation of the effectiveness of the program for the detection, diagnosis and comprehensive treatment of Depression in Primary Care)

Ministry of Health; Chile Country Resources Evaluation of Policy, Law, Strategies, Plans, and Services Chile 31 December 2006 Report depression, mental health treatment, primary care

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Description

Realizar una evaluación preliminar del Programa para la Detección, Diagnóstico
y Tratamiento Integral de la Depresión, instituido por el Ministerio de Salud de Chile. Se realizó un seguimiento de tres meses de un grupo de mujeres que ingresaron en este programa en ocho centros de atención primaria de tres regiones de Chile. La muestra inicial estuvo constituida por 229 personas, de las cuales 169 pudieron entrevistarse a los tres meses. Se estudiaron variables sociodemográficas, factores de riesgo psicosocial, síntomas ansiosos y somatomorfos y el grado de satisfacción con la atención recibida. El cuadro depresivo se evaluó con el Inventario de Depresión de Beck. Se analizaron los tratamientos e intervenciones prescritos a las mujeres. La evaluación preliminar indica que el programa está cumpliendo con los objetivos propuestos, si bien parece necesario desarrollar estrategias específicas para mejorar la precisión en el diagnóstico clínico y el cumplimiento de los tratamientos ofrecidos.

A preliminary assessment of the Program for Screening, Diagnosis and Comprehensive Treatment of Depression, instituted by the Ministry of Health of Chile. We conducted a three-month follow-up of a group of women who entered the program in eight primary care centers in three regions of Chile. The initial sample consisted of 229 people, of which 169 were able to interview in the three months. The studied variables include sociodemographic variables, psychosocial risk factors, anxiety and somatic symptoms and the degree of satisfaction with the care provided. Depressive symptoms were assessed with the Beck Depression Inventory. We analyzed the treatments prescribed to women. Preliminary evaluation indicates that the program is meeting its objectives, although it seems necessary to develop specific strategies to improve clinical diagnostic accuracy and compliance with the treatments offered.

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