Detection and treatment of depressive disorder in the spanish health system: a critical review

Authors

  • Margalida Gili Health Research Institute of the Balearic Islands (IdISBa); University Institute of Health Science Research (IUNICS). University of the Balearic Islands (UIB)
  • Pau Riera-Serra Health Research Institute of the Balearic Islands (IdISBa); University Institute of Health Science Research (IUNICS). University of the Balearic Islands (UIB)
  • Lorenzo Roldán-Espínola University Institute of Health Science Research (IUNICS). University of the Balearic Islands (UIB)
  • Adoración Castro Health Research Institute of the Balearic Islands (IdISBa); University Institute of Health Science Research (IUNICS). University of the Balearic Islands (UIB)
  • Victoria Coronado-Simsic University Institute of Health Science Research (IUNICS). University of the Balearic Islands (UIB)
  • Mauro García-Toro Health Research Institute of the Balearic Islands (IdISBa); University Institute of Health Science Research (IUNICS). University of the Balearic Islands (UIB)
  • Miquel Roca Health Research Institute of the Balearic Islands (IdISBa); University Institute of Health Science Research (IUNICS). University of the Balearic Islands (UIB)

Keywords:

Depression, detection, diagnosis, treatment

Abstract

Health care for depression is a major challenge. The aim of this review is to capture the status of the detection, diagnosis and treatment of depression in the Spanish public health system. The data from the latest National Health Survey (ENSE 2017) have been analyzed and a non-systematic search for publications has been carried out in the PubMed and Scopus databases. We highlight the high specificity and low sensitivity in the detection of cases of major depression by Primary Care (PC) physicians in Spain. The detection of depression is superior in specialized care compared to PC. The new healthcare systems based on the shared approach and the hierarchical model of screening, diagnosis and referral are reviewed and we present improvement proposals based on various programs and models of healthcare for depression.

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Published

2022-07-01

How to Cite

Gili, Margalida, et al. “Detection and Treatment of Depressive Disorder in the Spanish Health System: A Critical Review”. Actas Españolas De Psiquiatría, vol. 50, no. 4, July 2022, pp. 187-95, https://actaspsiquiatria.es/index.php/actas/article/view/1042.

Issue

Vol. 50 No. 4 (2022)

Section

Original