Prevalence of practice system tools for improving depression care among primary care clinics: the DIAMOND initiative.
J Gen Intern Med
; 26(9): 999-1004, 2011 Sep.
Article
em En
| MEDLINE
| ID: mdl-21598053
ABSTRACT
BACKGROUND:
Practice system tools improve chronic disease care, but are generally lacking for the care of depression in most primary care settings.OBJECTIVE:
To describe the frequency of various depression-related practice system tools among Minnesota primary care clinics interested in improving depression care.DESIGN:
Cross-sectional survey.PARTICIPANTS:
Physician leaders of 82 clinics in Minnesota. MAINMEASURES:
A survey including practice systems recommended for care of depression and chronic conditions, each scored on a 100-point scale, and the clinic's priority for improving depression care on a 10-point scale. KEYRESULTS:
Fewer practice systems tools were present and functioning well for depression care (score = 24.4 [SD 1.6]) than for the care of chronic conditions in general (score = 43.9 [SD 1.6]), p < 0.001. The average priority for improving depression care was 5.8 (SD 2.3). There was not a significant correlation between the presence of practice systems for depression or chronic disease care and the priority for depression care except for a modest correlation with the depression Decision Support subscale (r = 0.29, p = 0.008). Certain staffing patterns, a metropolitan-area clinic location, and the presence of a fully functional electronic medical record were associated with the presence of more practice system tools.CONCLUSIONS:
Few practice system tools are in place for improving depression care in Minnesota primary care clinics, and these are less well-developed than general chronic disease practice systems. Future research should focus on demonstrating whether implementing these tools for depression care results in much-needed improvements in care for patients with depression.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Atenção Primária à Saúde
/
Guias de Prática Clínica como Assunto
/
Transtorno Depressivo
/
Instituições de Assistência Ambulatorial
Tipo de estudo:
Clinical_trials
/
Diagnostic_studies
/
Guideline
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
Limite:
Adult
/
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
J Gen Intern Med
Assunto da revista:
MEDICINA INTERNA
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Estados Unidos