APPROPRIATENESS AND COMPLIANCE IN DEPRESSION TREATMENT

抑郁症治疗的适当性和依从性

• 批准号: 2730690
• 负责人: Philip S Wang
• 金额: $ 14.47万
• 依托单位: BRIGHAM AND WOMEN'S HOSPITAL
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-03-01 至 2004-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2730690
• 关键词: antidepressants; clinical research; depression; health care quality; health care service utilization; health insurance; health services research tag; human subject; human therapy evaluation; managed care; mental health epidemiology; outcomes research; psychiatrist; psychotherapy; therapy compliance

This is a new application for an NIMH K01 Mentored Scientist Development Award for New Minority Faculty (MSDA/NMF) entitled "Appropriateness and Compliance in Depression Treatment". The candidate's primary career interest is in studying and improving the quality of mental health services. The candidate's experience in epidemiology, psychiatry, and psychopharmacology have drawn his attention to the important gaps that exist between knowledge on the optimal management of psychiatric illnesses such as depression, and the actual care received by many patients. However, he recognizes that he needs additional skills to rigorously define the determinants, utilization, appropriateness, and outcomes of mental health service delivery and ultimately to improve its quality and cost-effectiveness. Therefore, he now seeks further training in mental health services research, quality improvement, mental health policy, and health care economics to equip him to build upon his background in epidemiology to conduct mental health services research in this important area. The candidate's proposed research project contains two broadly defined types of mentored research. The first are a series of studies combining health services research with epidemiology to measure current patterns and predictors of inadequate treatment for depression and treatment noncompliance in several different patient populations. The second will consist of an experimental study, in which interventions on the determinant of inadequate treatment and non- compliance found in the first series of studies will be developed and pilot-tested in order to improve these outcomes. Through his proposed training and mentored research, the candidate will acquire a set of synergistic skills which will prepare him to become an independent and productive mental health services researcher.

这是 NIMH K01 指导科学家开发的新申请 新少数族裔教师奖（MSDA/NMF）题为“适当性和 抑郁症治疗的依从性”。候选人的主要职业 兴趣在于研究和提高心理健康质量 服务。 候选人在流行病学、精神病学和 精神药理学引起了他对以下重要差距的关注： 关于精神科最佳管理的知识之间存在 抑郁症等疾病以及许多人接受的实际护理 患者。然而，他认识到自己需要额外的技能 严格定义决定因素、利用、适当性和 精神卫生服务提供的成果并最终改善其 质量和成本效益。 因此，他现在进一步寻求 心理健康服务研究、质量改进、心理培训 卫生政策和卫生保健经济学，使他能够在自己的基础上再接再厉 进行心理健康服务研究的流行病学背景 在这个重要的领域。候选人提出的研究项目 包含两种广泛定义的指导研究类型。 第一个是 一系列将卫生服务研究与流行病学相结合的研究 衡量治疗不足的当前模式和预测因素 几位不同患者的抑郁症和治疗不依从性 人口。 第二个将包括一项实验研究，其中 对治疗不充分和非治疗的决定因素进行干预 第一系列研究中发现的合规性将得到发展并 进行试点测试以改善这些结果。 通过他提出的 培训和指导研究，候选人将获得一套 协同技能将使他成为一个独立和 富有成效的心理健康服务研究员。