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Theses

Comparaison de la prise en charge de la dépression chez le sujet âgé et l’adulte non âgé par l’utilisation de systèmes administratifs automatisés.

Abstract : Healthcare databases allow exhaustive and strictly observational follow-up of patients in the healthcare system. Mood disorders are well described in the literature, but depressed elderly raised less concern. In this work, we have developed methods and strategies allowing the comparison of the management of depression between elderly people and their younger adult counterpart. Aging was associated with lower treatment rates and higher comorbidities. Conversely, in both age groups, the presence of comorbid condition mitigated the risk of being untreated. Besides, in any age group, having comorbid condition was not found associated with difference in persistence rate to antidepressants. Implementation of Medicare Part D was associated with substantial improvement in treatment of older adults with depression. Supported by other field studies, our results show that valuable data can be derived from healthcare databases. The full potential of this rich computerized database has yet to come.
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https://tel.archives-ouvertes.fr/tel-00755118
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Submitted on : Tuesday, November 20, 2012 - 3:05:17 PM
Last modification on : Tuesday, November 19, 2019 - 12:19:44 PM
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  • HAL Id : tel-00755118, version 1

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Thibaut Sanglier. Comparaison de la prise en charge de la dépression chez le sujet âgé et l’adulte non âgé par l’utilisation de systèmes administratifs automatisés.. Médecine humaine et pathologie. Université Claude Bernard - Lyon I, 2011. Français. ⟨NNT : 2011LYO10324⟩. ⟨tel-00755118⟩

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