title: [Barriers and Opportunities for Optimized Treatment of Late Life Depression].
abstract: Objective:To identify barriers and opportunities of an optimized treatment of depression in late life in Germany.Methods:Qualitative analysis of 12 expert interviews.Results:Experts recognized much room for improvement regarding late life depression care. A number of barriers were identified on the part of individuals affected, caring relatives and physicians and other therapists, as well as at the structural level. Lack of knowledge as well as a number of structural barriers result in diagnostic deficits and limited or inadequate treatment. The potential for improvement is explored.Conclusions:Parallel initiatives at different levels of care are suggested to optimize the treatment of depressed elderly people in Germany.
authors.affiliation: Universität Leipzig, Institut für Sozialmedizin, Arbeitsmedizin und Public Health (ISAP).
authors.forename: Uta
authors.initials: U
authors.lastname: Gühne
authors.affiliation: Universität Leipzig, Institut für Sozialmedizin, Arbeitsmedizin und Public Health (ISAP).
authors.forename: Melanie
authors.initials: M
authors.lastname: Luppa
authors.affiliation: Universität Leipzig, Institut für Sozialmedizin, Arbeitsmedizin und Public Health (ISAP).
authors.forename: Janine
authors.initials: J
authors.lastname: Stein
authors.affiliation: Medizinische Hochschule Hannover, Institut für Allgemeinmedizin.
authors.forename: Birgitt
authors.initials: B
authors.lastname: Wiese
authors.affiliation: Zentralinstitut für Seelische Gesundheit Mannheim, Medizinische Fakultät Mannheim/Universität Heidelberg.
authors.forename: Siegfried
authors.initials: S
authors.lastname: Weyerer
authors.affiliation: Universitätsklinikum Bonn, Klinik und Poliklinik für Psychiatrie und Psychotherapie.
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Maier
authors.affiliation: Universitätsklinikum Hamburg-Eppendorf, Institut für Gesundheitsökonomie und Versorgungsforschung (IGV).
authors.forename: Hans-Helmut
authors.initials: HH
authors.lastname: König
authors.affiliation: Universität Leipzig, Institut für Sozialmedizin, Arbeitsmedizin und Public Health (ISAP).
authors.forename: Steffi G
authors.initials: SG
authors.lastname: Riedel-Heller
mesh_terms: D000368:Aged; D000544:Alzheimer Disease / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D017028:Caregivers / Q000523:psychology / Q000639:trends; D003865:Major Depressive Disorder / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*; D003951:Diagnostic Errors / Q000639:trends; D005544:Forecasting; D005858:Germany; D006297:Health Services Accessibility / Q000639:trends; D006301:Health Services Needs and Demand / Q000639:trends; D006801:Humans; D007406:Interview, Psychological; D009313:National Health Programs / Q000639:trends; D010348:Patient Care Team / Q000639:trends; D011613:Psychotherapy / Q000639:trends; D011619:Psychotropic Drugs / Q000627:therapeutic use; D036301:Qualitative Research; D011787:Quality of Health Care / Q000639:trends
chemical_list: D011619:Psychotropic Drugs