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The influence of primary care clinic characteristics on the quality of care for depression in patients with different comorbidity profiles

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Academic year: 2021

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Résumé

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Mots clés

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Abstract

Z#! 0'$?.'V! 8.'&! (&))$#E(K! ?-()! 0.)$&#)(! 0'&(&#)$#E! 2$)1! ?.U-'! +&0'&(($-#! ./(-! (;^^&'! ^'-?! 8-?-'<$+!81'-#$8!?&#)./!.#+b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Key words

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Table of contents

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(14)

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(15)

]$!

List of tables

! A.</&!ZG!>$.E#-()$8!8'$)&'$.!^-'!?.U-'!+&0'&(($%&!&0$(-+&pppppppppppppppppppppGk! A.</&!ZZG!6.)&(!-^!8-?-'<$+!?.U-'!+&0'&(($-#!$#!(&/&8)!81'-#$8!01V($8./!+$(&.(&(pppppppNO! A.</&!ZZZG!>&^$#$)$-#(!-^!=;./$)V!-^!8.'&!+$?&#($-#(ppppppppppppppppppppppppGjM! A.</&!ZqG!!:.)$&#)!81.'.8)&'$()$8(!.((&((&+pppppppppppppppppppppppppppppgL! A.</&!qG!I0&'.)$-#./$_.)$-#!-^!0'$?.'V!8.'&!-'E.#$_.)$-#./!81.'.8)&'$()$8(ppppppppppGgl! A.</&!NG!F5')$8/&!NH!Q1.'.8)&'$()$8(!-^!();+$&(!&].?$#$#E!81'-#$8!?&+$8./!8-?-'<$+$)V!.#+! +&0'&(($-#!'&8-E#$)$-#ppppppppppppppppppppppppppppppppppNMl! A.</&!NG!F5')$8/&!LH!Q1.'.8)&'$()$8(!-^!();+$&(!$#8/;+&+!$#!)1&!'&%$&2pppppppppppppGNjL! A.</&!LG!F5')$8/&!LH!I%&'%$&2!-^!=;./$)V!$#+$8.)-'(!;(&+!$#!();+$&(!$#8/;+&+!$#!! !!)1&!'&%$&2pppppppppppppppppppppppppppppppppppppppppGNjk! A.</&!NG!F5')$8/&!jH!:'$?.'V!8.'&!0'.8)$8&!81.'.8)&'$()$8(ppppppppppppppppppppGNfl! A.</&!LG!F5')$8/&!jH!9-8$-[+&?-E'.01$8!.#+!8/$#$8./!81.'.8)&'$()$8(!-^!0.)$&#)(!! !!!2$)1!0.()[V&.'!?.U-'!+&0'&(($%&!&0$(-+&pppppppppppppppppppppppGNfk! A.</&!jG!F5')$8/&!jH!6&(;/)(!-^!?;/)$/&%&/!.#./V($(!-^!0'.8)$8&[!.#+!0.)$&#)[/&%&/!81.'.8)&'$()$8(! .#+!.((-8$.)$-#(!2$)1!)1&!'&8-E#$)$-#!.#+!?$#$?.//V!.+&=;.)&!)'&.)?&#)!-^! +&0'&(($-#pppppppppppppppppGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGNfi! A.</&!NG!F5')$8/&!OH!Q1.'.8)&'$()$8(!-^!();+V!0.')$8$0.#)(ppppppppppppppppppppGGNiM! A.</&!LG!F5')$8/&!OH!Q1.//&#E&(!-^!?.#.E$#E!0.)$&#)(!2$)1!?&#)./[01V($8./!! !!!,;/)$?-'<$+$)VppppppppppppppppppppppppppppppppppppppGNif! A.</&!jG!F5')$8/&!OH!9;??.'V!-^!^$#+$#E(!^-'!&#.</&'(K!0'-8&((&(!.#+!-;)8-?&(pppppppLMg! A.</&!qZG!I'E.#$_.)$-#./!.#+!0'-8&((!8-?0-#&#)(!-^!8-//.<-'.)$%&!8.'&pppppppppppGLOl! A.</&!LG!F5')$8/&!NH!6&(;/)(!^-'!();+$&(!-#!)'&.)?&#)!-^!+&0'&(($-#ppppppppppppppG]]$$$! A.</&!lG!F5')$8/&!LH!6&(;/)(!^-'!();+$&(!-#!)'&.)?&#)!-^!+&0'&(($-#ppppppppppppppG]]$$$! A.</&!jG!F5')$8/&!LH!6&(;/)(!^-'!();+$&(!-#!)'&.)?&#)!-^!+&0'&(($-#ppppppppppppppG]]$%! A.</&!OG!F5')$8/&!LH!6&(;/)(!^-'!();+$&(!-#!^-//-2[;0!8.'&!^-'!+&0'&(($-#pppppppppppG]]$%! ! ! !

(16)

]$$!

List of figures

! @$E;'&!NG!A1&!8-?0&)$#E!+&?.#+(!$#!0(V81-(-8$./!8.'&!?-+&/pppppppppppppppppGOk! @$E;'&!LG!Q-#8&0);./!^'.?&2-'dppppppppppppppppppppppppppppppppppGfg! @$E;'&!jG!6&8';$)?&#)!-^!0'$?.'V!8.'&!-'E.#$_.)$-#(!^-'!-'E.#$_.)$-#./!(;'%&Vppppppppkf! @$E;'&!NG!F5')$8/&!NH!:6Z9,5!F:'&^&''&+!6&0-')$#E!Z)&?(!^-'!9V()&?.)$8!6&%$&2(!! !!!.#+!,&).[5#./V(&(H!^/-281.')pppppppppppppppppppppppppppppGGNMj! @$E;'&!NG!F5')$8/&!LH!:6Z9,5!F:'&^&''&+!6&0-')$#E!Z)&?(!^-'!9V()&?.)$8!6&%$&2(!! !!!.#+!,&).[5#./V(&(H!^/-281.')pppppppppppppppppppppppppppppGGNjN! @$E;'&!NG!F5')$8/&!jH!3()$?.)&+!0'-<.<$/$)V!-^!+&0'&(($-#!'&8-E#$)$-#!^-'!)1'&&!%$');./!! !!!0.)$&#)(!1.%$#E!+$^^&'&#)!8-?-'<$+$)V!0'-^$/&(!.8'-((!)2-!%$');./!8/$#$8(ppppppNkL! @$E;'&!LG!F5')$8/&!jH!3()$?.)&+!0'-<.<$/$)V!-^!'&8&$%$#E!?$#$?.//V!.+&=;.)&!+&0'&(($-#! )'&.)?&#)!^-'!)1'&&!%$');./!0.)$&#)(!1.%$#E!+$^^&'&#)!8-?-'<$+$)V!0'-^$/&(!! !!!!.8'-((!)2-!%$');./!8/$#$8(ppppppppppppppppppppppppppppppppGGNkj! ! ! ! !

(17)

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List of abbreviations

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(18)

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(19)

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Acknowledgements

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(21)

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Chapter 1: Literature review

1.1. Definition, prevalence and impacts of depression Defining depression

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Prevalence of depression in the general population

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