A Systematic Review of Integrated Care Interventions Addressing Perinatal Depression Care in Ambulatory Obstetric Care Settings

被引：45

作者：

Simas, Tiffany A. Moore ^{[1
,2
,3
,4
]}

Flynn, Michael P. ^{[1
]}

Kroll-Desrosiers, Aimee R. ^{[4
]}

Carvalho, Stephanie M. ^{[6
]}

Levin, Leonard L. ^{[5
,7
]}

Biebel, Kathleen ^{[2
]}

Byatt, Nancy ^{[1
,2
]}

机构：

[1] Univ Massachusetts, Sch Med, Dept Obstet & Gynecol, Jaquith 2-008, Worcester, MA 01655 USA

[2] Univ Massachusetts, Sch Med, Dept Psychiat, Worcester, MA 01655 USA

[3] Univ Massachusetts, Sch Med, Dept Pediat, Worcester, MA USA

[4] Univ Massachusetts, Sch Med, Dept Quantitat Hlth Sci, Worcester, MA USA

[5] Univ Massachusetts, Sch Med, Dept Family & Community Med, Worcester, MA USA

[6] Univ Massachusetts, Sch Med, Worcester, MA USA

[7] Harvard Med Sch, Francis A Countway Lib Med, Boston, MA USA

来源：

CLINICAL OBSTETRICS AND GYNECOLOGY | 2018年 / 61卷 / 03期

基金：

美国国家卫生研究院;

关键词：

perinatal depression; integrated care; collaborative care; mental health; pregnancy; postpartum; MENTAL-HEALTH-CARE; MATERNAL DEPRESSION; COLLABORATIVE CARE; HIGH-RISK; WOMEN; PREGNANCY; OUTCOMES; QUALITY; IMPACT; PROVIDER;

D O I：

10.1097/GRF.0000000000000360

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

This systematic review searched 4 databases (PubMed/MEDLINE, Scopus, CINAHL, and PsychINFO) and identified 21 articles eligible to evaluate the extent to which interventions that integrate depression care into outpatient obstetric practice are feasible, effective, acceptable, and sustainable. Despite limitations among the available studies including marked heterogeneity, there is evidence supporting feasibility, effectiveness, and acceptability. In general, this is an emerging field with promise that requires additional research. Critical to its real-world success will be consideration for practice workflow and logistics, and sustainability through novel reimbursement mechanisms.

引用

页码：573 / 590

页数：18

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