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Screening Medical Patients for Depression: Lessons From a National Program in Cancer Clinics

机译：筛查医疗患者抑郁症：癌症诊所国家计划的课程

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摘要

Background: Screening has been recommended to improve the identification of depression in medical patients. There is, therefore, a need for useful practical information on how to successfully implement large-scale depression screening in medical clinics. Objective: To describe the practical lessons learned from our experience of implementing a large-scale depression screening program in cancer clinics throughout Scotland, UK Method: Reflective review based on the experience of the screening team and records of the iterative development of the program. Findings: Systematic screening for depression in patients with medical illnesses can be delivered in clinics as long as the program is well designed. Design issues include ensuring the engagement of staff and patients, implementing efficient 2-stage screening processes and effectively managing workflow and quality assurance. Discussion: Screening has the potential to offer a solution to the well-documented problem of missed depression and other psychiatric diagnoses, thereby improving patient care if closely linked to treatment provision.
机译：背景：建议筛选以改善医疗患者抑郁症的鉴定。因此，需要有关如何在医疗诊所成功实施大规模抑郁症的有用实际信息。目的：描述我们在苏格兰苏格兰癌症诊所实施大规模抑郁筛查计划的实际经验教训：基于筛选团队的经验和该计划迭代发展的记录的反思审查。调查结果：只要该计划设计精良，可以在诊所提供医疗疾病患者抑郁症的系统筛查。设计问题包括确保员工和患者的参与，实施有效的2阶段筛选过程，有效地管理工作流程和质量保证。讨论：筛选有可能为错过抑郁症和其他精神病诊断的良好记录问题提供解决方案，从而随着与治疗条件密切相关的话，改善患者护理。

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