ArticleThe Lancet regional health. Western Pacific2022
Barriers to depression care among middle-aged and older adults in Taiwan's universal healthcare system.
Article in The Lancet regional health. Western Pacific, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Global Patterns of Comorbidities Among Patients With Hidradenitis Suppurativa: A Systematic Review and Meta-Analysis.International journal of dermatology · 2026Pooled it
- A randomized controlled trial study of a life review art intervention for older adults living alone.Frontiers in psychology · 2025Trial
- The Mouth-Mind Connection: Interplay of Oral and Mental Health in Older Adults.Geriatrics (Basel, Switzerland) · 2026Review
- Benzodiazepine use in physicians: retrospective 5-year nationwide study in Taiwan.BJPsych open · 2025Article
- Healthcare for individuals with schizophrenia in Taiwan: 10-year national trend analysis.BJPsych open · 2025Article
- Suicide in later life: the role of frailty and depression.Current opinion in psychiatry · 2025Review
- Significant association of oral health-related quality of life with mental depression in middle-aged and older Taiwanese adults.Journal of dental sciences · 2025Article
- The increased risk of exposure to fine particulate matter for depression incidence is mediated by elevated TNF-R1: the Healthy Aging Longitudinal Study.Environmental health and preventive medicine · 2025Article
- Article
- Risk of suicide in patients with atrial fibrillation receiving different oral anticoagulants: a nationwide analysis using target trial emulation framework.BMC medicine · 2024Article
- Suicide risks among caregivers of patients with depressive disorders.The Journal of international medical research · 2024Article
- Altered pupil light and darkness reflex and eye-blink responses in late-life depression.BMC geriatrics · 2024Article
- Impacts of environmental factors on the aetiological diagnosis and disease severity of community-acquired pneumonia in China: a multicentre, hospital-based, observational study.Epidemiology and infection · 2024Observational
- Attributional styles are associated with care burden in geriatric depression: older adults and their caregivers in Taiwan.Aging clinical and experimental research · 2024Article
- Effectiveness of health checkup with depression screening on depression treatment and outcomes in middle-aged and older adults: a target trial emulation study.The Lancet regional health. Western Pacific · 2024Article
- Population-attributable risk of psychiatric disorders for suicide among adolescents and young adults in Taiwan.Psychological medicine · 2023Article
- Impact of a diabetes pay-for-performance program on nonincentivized mental disorders: a panel study based on claims database analysis.Cost effectiveness and resource allocation : C/E · 2023Article
- What Do Patients Want in the Treatment of Major Depressive Disorder? Taiwan's TAILOR Survey.Neurology and therapy · 2023Article
- Estimation of life expectancy and healthcare cost in rheumatoid arthritis patients with and without depression: a population-based retrospective cohort study.Frontiers in medicine · 2023Article
Corrections and comments
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Authors and funding
7 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Barriers to depression care differ across countries, highlighting the importance of identifying gaps in health-service coverage for regional health systems. This study aims to identify the bottlenecks of depression care and associated factors. Methods: We used data from the Taiwan Longitudinal Study on Aging of 2015, included 7675 participants aged 50 years and older. We identified participants with clinically relevant depression using the Center for Epidemiological Studies Depression Scale or Taiwan's National Health Insurance program claims records of depressive disorders. Bottleneck analysis was based on a modified Tanahashi framework with four stages: healthcare accessibility, initial contact, adequate treatment, and effective coverage. Individual factors associated with achieving these stages were estimated using multivariable logistic regression models with multiple imputation. Findings: We identified 1253 patients with clinically relevant depression; 83% perceived it as convenient to access healthcare, but only 27% had initial contact with health services, 16% received adequate coverage, and 11% achieved effective treatment. In terms of factors associated with initial contact, being female, married, or retired/unemployed; having a high education level, social group engagement, or self-reported diabetes mellitus; exercising regularly; and participating in social leisure activities were associated with increasing contact. Those with alcohol use had a low likelihood of treatment. Interpretation: Initial contact constitutes the primary bottleneck of depression care in Taiwan. Improving mental health literacy and enhancing depression screening would be helpful to elevate treatment rates and improve depression care. Funding: This study was supported by a grant from the Ministry of Health and Welfare, Taiwan.
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