Publications by authors named "Diana Goretty Oviedo-Manrique"

3 Publications

  • Page 1 of 1

Barriers and facilitators to the diagnosis and treatment of depression in primary care in Colombia: Perspectives of providers, healthcare administrators, patients and community representatives.

Rev Colomb Psiquiatr (Engl Ed) 2021 Jul 17;50 Suppl 1:64-72. Epub 2021 Jul 17.

Center for Technology and Behavioral Health, Geisel School of Medicine, Dartmouth College, Lebanon, NH, USA.

Introduction: Depression represents a major disease burden in Colombia. To better understand opportunities to improve access to mental healthcare in Colombia, a research team at Javeriana University conducted formative qualitative research to explore stakeholders' experiences with the integration of mental healthcare into the primary care system.

Methods: The research team conducted 16 focus groups and 4 in-depth interviews with patients, providers, health administrators and representatives of community organisations at five primary care clinics in Colombia, and used thematic analysis to study the data.

Results: Themes were organised into barriers and facilitators at the level of patients, providers, organisations and facilities. Barriers to the treatment of depression included stigma, lack of mental health literacy at the patient and provider level, weak links between care levels, and continued need for mental health prioritization at the national level. Facilitators to the management of depression in primary care included patient support systems, strong patient-provider relationships, the targeting of depression interventions and national depression guidelines.

Discussion: This study elucidates the barriers to depression care in Colombia, and highlights action items for further integrating depression care into the primary care setting.
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http://dx.doi.org/10.1016/j.rcpeng.2021.01.001DOI Listing
July 2021

Barriers and facilitators to the diagnosis and treatment of depression in Primary Care in Colombia: Perspectives of providers, healthcare administrators, patients and community representatives.

Rev Colomb Psiquiatr 2021 Jun 23;50 Suppl 1:67-76. Epub 2021 Mar 23.

Center for Technology and Behavioral Health, Geisel School of Medicine, Dartmouth College, Lebanon, NH, Estados Unidos.

Introduction: Depression represents a major disease burden in Colombia. To better understand opportunities to improve access to mental healthcare in Colombia, a research team at Javeriana University conducted formative qualitative research to explore stakeholders' experiences with the integration of mental healthcare into the primary care system.

Methods: The research team conducted 16 focus groups and 4 in-depth interviews with patients, providers, health administrators and representatives of community organisations at 5 primary care clinics in Colombia, and used thematic analysis to study the data.

Results: Themes were organised into barriers and facilitators at the level of patients, providers, organisations and facilities. Barriers to the treatment of depression included stigma, lack of mental health literacy at the patient and provider level, weak links between care levels, and continued need for mental health prioritisation at the national level. Facilitators to the management of depression in primary care included patient support systems, strong patient-provider relationships, the targeting of depression interventions and national depression guidelines.

Discussion: This study elucidates the barriers to depression care in Colombia, and highlights action items for further integrating depression care into the primary care setting.
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http://dx.doi.org/10.1016/j.rcp.2021.01.001DOI Listing
June 2021

Perspectives, Experiences, and Practices in the Use of Digital Information Technologies in the Management of Depression and Alcohol Use Disorder in Health Care Systems in Colombia.

Qual Health Res 2020 05 13;30(6):906-916. Epub 2020 Feb 13.

Department of Epidemiology and Biostatistics, School of Medicine, Pontificia Universidad Javeriana, Bogota, Colombia.

Digital information technologies are increasingly used in the treatment of mental health disorders. Through this qualitative study, researchers illuminated perspectives, experiences, and practices among diverse stakeholders in the use of digital information technologies in the management of depression and alcohol use disorders in Colombia. In-depth interviews and focus groups were conducted in five primary care institutions across Colombia. Thematic analysis was used to analyze the data. The use of technology in the treatment of mental health disorders can facilitate the , and , as well as Potential barriers to the use of technology in this setting include challenges of , and This study can inform the implementation of digital information technologies in the care of depression and problematic alcohol use within health care systems in Colombia.
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http://dx.doi.org/10.1177/1049732320902460DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265234PMC
May 2020
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