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Milbank Q. 1999;77(2):225-56, 174.

Treating depressed older adults in primary care: narrowing the gap between efficacy and effectiveness.

Author information

  • 1Center for Health Services Research, UCLA Neuropsychiatric Institute 90024, USA. unutzer@ucla.edu

Abstract

There is a gap between the efficacy of treatments for late-life depression under research conditions and the effectiveness of treatments as they occur in the "real world" of primary care. Considerable evidence supports the efficacy of treatments for late-life depression, but many depressed older adults either are not recognized or do not receive effective treatment for depression in primary care. Older adults face a range of special treatment barriers: knowledge deficits; losses and social isolation; multiple medical problems; and lack of financial resources. More research is needed to understand these barriers and to study the effectiveness of multifaceted, population-based disease management interventions for late-life depression in primary care.

PMID:
10392163
[PubMed - indexed for MEDLINE]
PMCID:
PMC2751121
Free PMC Article
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