TY - JOUR
KW - African Americans/psychology
KW - Anxiety/diagnosis/ethnology/therapy
KW - Depression/diagnosis/ethnology/therapy
KW - European Continental Ancestry Group/psychology
KW - Female
KW - Health Care Surveys/methods
KW - Healthcare Disparities
KW - Hispanic Americans/psychology
KW - Humans
KW - Male
KW - Mental Health Services
KW - Middle Aged
KW - Office Visits/trends
KW - Primary Health Care
KW - United States
AU - S. E. Stockdale
AU - I. T. Lagomasino
AU - J. Siddique
AU - T. McGuire
AU - J. Miranda
A1 - 
AB - CONTEXT: Recent evidence questions whether formerly documented disparities in care for common mental disorders among African Americans and Hispanics still remain. Also, whether disparities exist mainly in psychiatric settings or primary health care settings is unknown. OBJECTIVE: To comprehensively examine time trends in outpatient diagnosis and treatment of depression and anxiety among ethnic groups in primary care and psychiatric settings. DESIGN AND SETTING: Analyses of office-based outpatient visits from the National Ambulatory Medical Care Study from 1995-2005 (n = 96,075). PARTICIPANTS: Visits to office-based primary care physicians and psychiatrists in the United States. MAIN OUTCOME MEASURES: Diagnosed with depression or anxiety, received counseling or a referral for counseling, received an antidepressant prescription, and any counseling or antidepressant care. RESULTS: In these analyses of 10-year trends in treatment of common mental disorders, disparities in counseling/referrals for counseling, antidepressant medications, and any care vastly improved or were eliminated over time in psychiatric visits. Continued disparities in diagnoses, counseling/referrals for counseling, antidepressant medication, and any care are found in primary care visits. CONCLUSIONS: Disparities in care for depression and anxiety among African Americans and Hispanics remain in primary care. Quality improvement efforts are needed to address cultural and linguistic barriers to care.
BT - Medical care
C5 - Healthcare Disparities
CP - 7
CY - United States
DO - 10.1097/MLR.0b013e3181789496
IS - 7
JF - Medical care
N2 - CONTEXT: Recent evidence questions whether formerly documented disparities in care for common mental disorders among African Americans and Hispanics still remain. Also, whether disparities exist mainly in psychiatric settings or primary health care settings is unknown. OBJECTIVE: To comprehensively examine time trends in outpatient diagnosis and treatment of depression and anxiety among ethnic groups in primary care and psychiatric settings. DESIGN AND SETTING: Analyses of office-based outpatient visits from the National Ambulatory Medical Care Study from 1995-2005 (n = 96,075). PARTICIPANTS: Visits to office-based primary care physicians and psychiatrists in the United States. MAIN OUTCOME MEASURES: Diagnosed with depression or anxiety, received counseling or a referral for counseling, received an antidepressant prescription, and any counseling or antidepressant care. RESULTS: In these analyses of 10-year trends in treatment of common mental disorders, disparities in counseling/referrals for counseling, antidepressant medications, and any care vastly improved or were eliminated over time in psychiatric visits. Continued disparities in diagnoses, counseling/referrals for counseling, antidepressant medication, and any care are found in primary care visits. CONCLUSIONS: Disparities in care for depression and anxiety among African Americans and Hispanics remain in primary care. Quality improvement efforts are needed to address cultural and linguistic barriers to care.
PP - United States
PY - 2008
SN - 0025-7079; 0025-7079
SP - 668
EP - 677
EP - 
T1 - Racial and ethnic disparities in detection and treatment of depression and anxiety among psychiatric and primary health care visits, 1995-2005
T2 - Medical care
TI - Racial and ethnic disparities in detection and treatment of depression and anxiety among psychiatric and primary health care visits, 1995-2005
U1 - Healthcare Disparities
U2 - 18580385
U3 - 10.1097/MLR.0b013e3181789496
VL - 46
VO - 0025-7079; 0025-7079
Y1 - 2008
ER -