Improving the recognition and management of depression in primary care.
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Improving the recognition and management of depression in primary care.

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Published by NHS Centre for Reviews and Dissemination, University of York, in association with Royal Society of Medicine Press in York .
Written in English


Book details:

Edition Notes

Bulletin on the effectiveness of health service interventions for decision makers.

SeriesEffective health care -- vol.7/5
ContributionsNHS Centre for Reviews & Dissemination., Royal Society of Medicine (Great Britain)
The Physical Object
Pagination12p. :
Number of Pages12
ID Numbers
Open LibraryOL19571340M

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title = "Improving the recognition and management of depression in primary care.", abstract = "The effectiveness of screening and organisational strategies to improve the recognition and management of depression in primary care published in a recent issue of Effective Health Care is reviewed. The effectiveness of screening and organisational strategies to improve the recognition and management of depression in primary care published in a recent issue of Effective Health Care .   Methods. Data came from an Italian nationwide survey on depressive disorders in primary care, involving PCPs and attenders. Two hundred fifty patients suffering from major or subthreshold depression were compared in relation to their presentation (psychological, physical, and pain) and frequency of visits (low and high).Cited by: BACKGROUND: Many patients who visit primary care physicians suffer from depression, but physicians may miss the diagnosis or undertreat these patients. Improving physicians’ communication skills pertaining to diagnosing and managing depression may lead to better S: We performed a randomized controlled trial involving 49 primary care physicians to determine the effect .

‘Depression ’ is a major epidemiological study conducted in a representative sample of primary care settings (which examined a total of 15 unselected patients) in Germany in order to address the current lack of information on the prevalence, recognition and treatment of depression in primary care. intervention redefined roles across the primary care team to improve the detection and management of major depression without the assistance of an onsite mental health professional. Incorporating strengths from effective-ness studies, we tested the intervention with primary care professionals in community practices caring for patients.   Recognizing depression in the primary care setting, particularly in patients with multiple comorbidities, can be difficult. Thus, screening with self reported questionnaires has emerged as an approach to aid primary care providers in identifying patients who may have depression but who do not yet have a diagnosis. What do guidelines recommend? Previous work has succeeded in improving the recognition of depression by general practitioners. This is likely to be of most benefit when it results in effective treatment. Factors compromising the effectiveness of pharmacological treatments include non-compliance, non-response, and relapse of depression.

  Use of a depression screening and treatment protocol in primary care practices has been shown to increase screening and evidence-based treatment of depression and improve . INTRODUCTION. Underrecognition of depression in primary care is a critical public health problem 1– 7 that has high societal costs related to disability, 8, 9 morbidity, 10, 11 mortality, 1 and excessive health care utilization. 12– 15 During the past decade, published findings of studies concerning the recognition of depression in primary care settings identified several potentially. primary care setting with aims to improve the recognition and treatment of depression. The project’s objectives included increasing the frequency of depression screening at annual wellness visits, utilizing the Patient Health Questionnaire-2 (PHQ-2) or Patient Health Questionnaire An improved level of integration between primary and secondary care and a shifting of roles for healthcare professionals is seen to be integral in optimising the management of depression in primary care Strategies to improve the recognition and management of depression.