American health care systems and depression

The past, present, and the future

Robert M A Hirschfeld

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

American medicine has witnessed 3 major periods in this century that have all played key roles in the evolution of today's medical systems, practice, and education. The first of these periods followed the publication of the Flexner report in the early 1900s that was critical of the then current medical education system. The second came with the development of specialties in the 1920s and 1930s, and the third with the growth of HMOs and managed care and with the reemergence of primary care. Mental health practice has also evolved, moving from a specialist-based direct access to a primary care model. Although great strides have been made regarding the treatment of depression, an overwhelming majority of patients are still undertreated. Treatments for the future must focus on programs to improve recognition of depression, reduce stigma, and increase compliance.

Original languageEnglish (US)
Pages (from-to)5-10
Number of pages6
JournalJournal of Clinical Psychiatry
Volume59
Issue numberSUPPL. 20
StatePublished - 1998

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Primary Health Care
Depression
Delivery of Health Care
Health Maintenance Organizations
Managed Care Programs
Medical Education
Compliance
Publications
Mental Health
Medicine
Education
Therapeutics
Growth

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

Cite this

American health care systems and depression : The past, present, and the future. / Hirschfeld, Robert M A.

In: Journal of Clinical Psychiatry, Vol. 59, No. SUPPL. 20, 1998, p. 5-10.

Research output: Contribution to journalArticle

Hirschfeld, Robert M A. / American health care systems and depression : The past, present, and the future. In: Journal of Clinical Psychiatry. 1998 ; Vol. 59, No. SUPPL. 20. pp. 5-10.
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