Résumé :
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[BDSP. Notice produite par INIST-CNRS 4taR0x0C. Diffusion soumise à autorisation]. Context Recent advances in pharmacotherapy and changing health care environments have focused increased attention on trends in outpatient treatment of depression. Objective To compare trends in outpatient treatment of depressive disorders in the United States in 1987 and 1997. Design and Setting Analysis of service utilization data from 2 nationally representative surveys of the US general population, the 1987 National Medical Expenditure Survey (N=34459) and the 1997 Medical Expenditure Panel Survey (N=32636). Participants Respondents who reported making 1 or more outpatient visits for treatment of depression during that calendar year. Main Outcome Measures Rate of treatment, psychotropic medication use, psychotherapy, number of outpatient treatment visits, type of health care professional, and source of payment. Results The rate of outpatient treatment for depression increased from 0.73 per 100 persons in 1987 to 2.33 in 1997 (P<. the proportion of treated individuals who used antidepressant medications increased from to whereas received psychotherapy declined vs p="006)." mean number depression treatment visits per user year an increasingly large patients were by physicians for their condition and costs more often covered third-party payers conclusions between there was a marked increase in population outpatient depression. became characterized greater involvement use psychotropic expanding availability payment but fewer less psychotherapy.>
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