title: A Patient-Held Medical Record Integrating Depression Care into Diabetes Care.
abstract: OBJECTIVE
  Depression is frequently observed in people with diabetes. The purpose of this study is to develop a tool for individuals with diabetes and depression to communicate their comorbid conditions to health-care providers.
  
  
  METHODS
  We searched the Internet to review patient-held medical records (PHRs) of patients with diabetes and examine current levels of integration of diabetes and depression care in Japan.
  
  
  RESULTS
  Eight sets of PHRs were found for people with diabetes. All PHRs included clinical follow-up of diabetes and multidisciplinary clinical pathways for diabetes care. No PHRs included depression monitoring and/or treatment. In terms of an integrated PHR for a patient comorbid with diabetes and depression, necessary components include hopes/preferences, educational information on diabetes complications and treatment, medical history, stress and coping, resources, and monitoring diabetes and depression.
  
  
  CONCLUSIONS
  A new PHR may be suitable for comorbid patients with diabetes and depression.
authors.affiliation: Division of Diabetic Research, Clinical Research Institute, National Hospital Organization Kyoto Medical Center, Fushimi, Kyoto, Japan.
authors.forename: Noriko
authors.initials: N
authors.lastname: Satoh-Asahara
authors.affiliation: National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan.
authors.forename: Hiroto
authors.initials: H
authors.lastname: Ito
authors.affiliation: Shimada Hospital, Ogori, Fukuoka, Japan.
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Akashi
authors.affiliation: Division of Diabetic Research, Clinical Research Institute, National Hospital Organization Kyoto Medical Center, Fushimi, Kyoto, Japan.
authors.forename: Hajime
authors.initials: H
authors.lastname: Yamakage
authors.affiliation: Jichi Medical University, Shimotsuke, Tochigi, Japan.
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Kotani
authors.affiliation: Jichi Medical University, Shimotsuke, Tochigi, Japan.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Nagata
authors.affiliation: National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan.
authors.forename: Kazuyuki
authors.initials: K
authors.lastname: Nakagome
authors.affiliation: Department of Endocrinology and Diabetes, Saitama Medical University, Irumagun, Saitama, Japan.; National Centre for Global Health and Medicine, Shinjuku, Tokyo, Japan.
authors.forename: Mitsuhiko
authors.initials: M
authors.lastname: Noda
keywords: depression; diabetes; integrating care; patient-held medical record