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A Patient-Held Medical Record Integrating Depression Care into Diabetes Care
Noriko Satoh-Asahara1, Hiroto Ito2, Tomoyuki Akashi3
1Division of Diabetic Research, Clinical Research Institute, National Hospital Organization Kyoto Medical Center, Fushimi, Kyoto, Japan.
Purpose:
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.
Method:
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.
Conclusion:
A new PHR may be suitable for comorbid patients with diabetes and depression.
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