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Volume 27 (Supplement 1)

Volume 27, Supplement 1, Fall 2007line
J Contin Educ Health Prof 2007; 27(Suppl1):S18
RESEARCH ARTICLE

Perspectives on disparities in depression care
Robert E. Kristofco, Altha J. Stewart, William Vega

A b s t r a c t

Depression is a major public health problem and a leading cause of disability worldwide. Compounding the high rates of morbidity and mortality and treatment challenges associated with depression are the tremendous disparities in quality of mental health care that exist between the majority of the population and those of racial and ethnic minorities. Although more study data are available on depression care for African Americans than for other groups, racial and ethnic minorities overall are less likely than whites to receive an accurate diagnosis, to receive care according to evidence-based guidelines, and to receive an antidepressant upon diagnosis. Multiple factors contribute to these disparities, among them socioeconomic and cultural issues and prejudices among patients and health care providers. Closing the gap that exists between what depression care is and what depression care could be begins with clinicians’ recognizing the relevance of culture to care. Opportunities exist within the broader context of medical education, including continuing medical education (CME), to prepare health care professionals to address the myriad issues related to managing depression.

Lessons for Practice
  • There are multiple reasons why disparities exist in care of patients with depression.
  • Identifying barriers to high-quality mental health care in ethnic and minority patients should help narrow the gap in depression care.
  • Education of the health care team, especially in cultural competence, may decrease disparities in depression care, but evidence suggests that additional interventions are needed.

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