title: Barriers to treating depression in the family physician's office.
abstract: This qualitative research aims to understand, from the standpoint of the family physician, the barriers to treating depression in the office setting. Three primary barriers to treating depression in the family physician's office were identified: systemic, physician-related, and patient-related. The systemic barriers involved the shortage of qualified, publicly-funded counsellors, lack of locally available counselling, and the cost of medication. Physician-related barriers included lack of time and expertise, and inadequacies of the reimbursement system. Patient-related barriers were rooted in the stigma attached to depression and failure to comply with treatment.
authors.affiliation: Dalhousie University, Everett Chalmers Regional Hospital.
authors.forename: Baukje
authors.initials: B
authors.lastname: Miedema
authors.forename: Sue
authors.initials: S
authors.lastname: Tatemichi
authors.forename: Roanne
authors.initials: R
authors.lastname: Thomas-Maclean
authors.forename: Janet
authors.initials: J
authors.lastname: Stoppard
mesh_terms: D000928:Antidepressive Agents / Q000191:economics / Q000627:therapeutic use; D002170:Canada; D003376:Counseling / Q000600:supply & distribution; D003866:Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D016527:Drug Costs / Q000706:statistics & numerical data; D005194:Family Practice; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand / Q000191:economics / Q000706:statistics & numerical data; D006801:Humans; D010342:Patient Acceptance of Health Care / Q000523:psychology / Q000706:statistics & numerical data; D010348:Patient Care Team / Q000191:economics / Q000706:statistics & numerical data; D010349:Patient Compliance / Q000523:psychology / Q000706:statistics & numerical data; D010817:Physician-Patient Relations; D011320:Primary Health Care / Q000191:economics / Q000706:statistics & numerical data; D012423:Rural Health / Q000706:statistics & numerical data
chemical_list: D000928:Antidepressive Agents