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dc.contributor.authorTrinh, Nhi-Ha T.en_US
dc.contributor.authorLaRocca, Rachelen_US
dc.contributor.authorRegan, Susanen_US
dc.contributor.authorChang, Trina E.en_US
dc.contributor.authorGilman, Stephen E.en_US
dc.contributor.authorFava, Maurizioen_US
dc.contributor.authorYeung, Alberten_US
dc.date.accessioned2014-03-11T13:52:16Z
dc.date.issued2011en_US
dc.identifier.citationTrinh, Nhi-Ha T., Rachel LaRocca, Susan Regan, Trina E. Chang, Stephen E. Gilman, Maurizio Fava, and Albert Yeung. 2011. “Using the Electronic Medical Record to Examine Racial and Ethnic Differences in Depression Diagnosis and Treatment in a Primary Care Population.” Primary health care : open access 1 (1): 1000106. doi:10.4172/2167-1079.1000106. http://dx.doi.org/10.4172/2167-1079.1000106.en
dc.identifier.issn2167-1079en
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:11879755
dc.description.abstractObjective: We assessed racial and ethnic differences in depression diagnosis and treatment in a primary care population. Methods: A sample of primary care outpatients in 2007 was generated using the electronic medical record (EMR). Patients were considered depressed if their providers billed for depression-related codes; they were considered prescribed antidepressants if any antidepressants were on their medication list. Rates of diagnosis and medication prescription were estimated using a generalized linear model with a Poisson distribution, adjusting for covariates. Results: In the resulting sample (n=85,790), all minority groups were less likely to be diagnosed with depression as compared to Whites (p<0.05); 11.36% of Whites had a depression diagnosis, as compared to 6.44% of Asian Americans, 7.55% of African Americans, and 10.18% of Latino Americans. Among those with a depression diagnosis (n=11,096), 54.07% of African Americans were prescribed antidepressant medications, as compared to 63.19% Whites (p<0.05); Asian Americans and Latino Americans showed a trend of being less likely to be prescribed antidepressant medications. Conclusions: Our study illustrates differences in diagnosis and treatment for minority primary care patients, and is innovative in using the EMR to probe these differences. Further research is needed to understand the underlying reasons for these observed differences.en
dc.language.isoen_USen
dc.relation.isversionofdoi:10.4172/2167-1079.1000106en
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3919035/pdf/en
dash.licenseLAAen_US
dc.subjectMajor Depressive Disordersen
dc.subjectMinoritiesen
dc.subjectElectronic Medical Recordsen
dc.subjectPrimary Careen
dc.titleUsing the Electronic Medical Record to Examine Racial and Ethnic Differences in Depression Diagnosis and Treatment in a Primary Care Populationen
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden
dc.relation.journalPrimary health care : open accessen
dash.depositing.authorTrinh, Nhi-Ha T.en_US
dc.date.available2014-03-11T13:52:16Z
dc.identifier.doi10.4172/2167-1079.1000106*
dash.contributor.affiliatedYeung, Albert
dash.contributor.affiliatedRegan, Susan
dash.contributor.affiliatedTrinh, Nhi-Ha
dash.contributor.affiliatedChang, Trina
dash.contributor.affiliatedGilman, Stephen Edward
dash.contributor.affiliatedFava, Maurizio


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