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Quality Indicators for Major Depressive Disorder in Adults: A Review of Performance Measures by the American College of Physicians.
Qaseem, Amir; Andrews, Rebecca A; Campos, Karen; Goldzweig, Caroline L; MacDonald, Scott; McLean, Robert M; Powell, Rhea E; Fitterman, Nick; Basch, Peter; Choi, Elisa; Chou, Roger; Hamori, Charles J; Mount, Cristin A; Campos, Karen.
Afiliação
  • Qaseem A; American College of Physicians, Philadelphia, Pennsylvania (A.Q., K.C.).
  • Andrews RA; University of Connecticut, Farmington, Connecticut (R.A.A.).
  • Campos K; American College of Physicians, Philadelphia, Pennsylvania (A.Q., K.C.).
  • Goldzweig CL; Cedars-Sinai Medical Care Foundation, Beverly Hills, California (C.L.G.).
  • MacDonald S; UC Davis Health, Sacramento, California (S.M.).
  • McLean RM; Yale School of Medicine, New Haven, Connecticut (R.M.M.).
  • Powell RE; Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania (R.E.P.).
  • Fitterman N; Northwell Health, New Hyde Park, New York; Department of Medicine, Huntington Hospital, Huntington, New York; and Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (N.F.).
Ann Intern Med ; 177(4): 507-513, 2024 04.
Article em En | MEDLINE | ID: mdl-38437692
ABSTRACT
Major depressive disorder (MDD) is a severe mood disorder that affects at least 8.4% of the adult population in the United States. Characteristics of MDD include persistent sadness, diminished interest in daily activities, and a state of hopelessness. The illness may progress quickly and have devastating consequences if left untreated. Eight performance measures are available to evaluate screening, diagnosis, and successful management of MDD. However, many performance measures do not meet the criteria for validity, reliability, evidence, and meaningfulness.The American College of Physicians (ACP) embraces performance measurement as a means to externally validate the quality of care of practices, medical groups, and health plans and to drive reimbursement processes. However, a plethora of performance measures that provide low or no value to patient care have inundated physicians, practices, and systems and burdened them with collecting and reporting of data. The ACP's Performance Measurement Committee (PMC) reviews performance measures using a validated process to inform regulatory and accreditation bodies in an effort to recognize high-quality performance measures, address gaps and areas for improvement in performance measures, and help reduce reporting burden. Out of 8 performance measures, the PMC found only 1 measure (suicide risk assessment) that was valid at all levels of attribution. This paper presents a review of MDD performance measures and highlights opportunities to improve performance measures addressing MDD management.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtorno Depressivo Maior Limite: Adult / Humans País/Região como assunto: America do norte Idioma: En Revista: Ann Intern Med Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtorno Depressivo Maior Limite: Adult / Humans País/Região como assunto: America do norte Idioma: En Revista: Ann Intern Med Ano de publicação: 2024 Tipo de documento: Article