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Shared Decision-making in the Primary Care Treatment of Late-life Major Depression: a Needed New Intervention?

Overview
Specialties Geriatrics
Psychiatry
Date 2009 Dec 1
PMID 19946872
Citations 11
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Abstract

Objective: We suggest that clinicians consider models of shared decision-making (SDM) for their potential ability to improve the treatment of major depression in the primary care setting and overcome limitations of collaborative care and other interventions.

Methods: We explore the characteristics and techniques of patient-clinician SDM, with particular emphasis on this model's relevance to the unique treatment concerns of depressed older adults.

Results: We describe a SDM intervention to engage older adults in depression treatment in the primary care sector.

Conclusions: It is timely to examine SDM models for elderly depressed primary care patients given their potential ability to improve treatment adherence and clinical outcomes.

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