Barriers and Facilitators to the Diagnosis and Treatment of Depression in Primary Care in Colombia: Perspectives of Providers, Healthcare Administrators, Patients and Community Representatives

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Citation

Bartels, Sophia M.; Cardenas, Paula; Uribe-Restrepo, José M.; Cubillos, Leonardo; Torrey, William C.; Castro, Sergio M.; Williams, Makeda J.; Oviedo-Manrique, Diana Goretty; Gómez-Restrepo, Carlos; & Marsch, Lisa A. (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. Revista Colombiana de Psiquiatria, 50(Suppl. 1), 67-76. PMCID: PMC8666103

Abstract

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.

URL

http://dx.doi.org/10.1016/j.rcp.2021.01.001

Reference Type

Journal Article

Year Published

2021

Journal Title

Revista Colombiana de Psiquiatria

Author(s)

Bartels, Sophia M.
Cardenas, Paula
Uribe-Restrepo, José M.
Cubillos, Leonardo
Torrey, William C.
Castro, Sergio M.
Williams, Makeda J.
Oviedo-Manrique, Diana Goretty
Gómez-Restrepo, Carlos
Marsch, Lisa A.

Article Type

Regular

PMCID

PMC8666103

Continent/Country

Colombia

ORCiD

Bartels - 0000-0002-9431-8735