Prevalence of Practice System Tools for Improving Depression Care Among Primary Care Clinics: The DIAMOND Initiative.
Summary of "Prevalence of Practice System Tools for Improving Depression Care Among Primary Care Clinics: The DIAMOND Initiative."
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. MAIN
MEASURES:
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. KEY
RESULTS:
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.
Affiliation
HealthPartners Research Foundation, 8170 33rd Avenue South, Minneapolis, MN, 55425, USA, karen.l.margolis@healthpartners.com.
Journal Details
This article was published in the following journal.
Name: Journal of general internal medicine
ISSN: 1525-1497
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/21598053
- DOI: http://dx.doi.org/10.1007/s11606-011-1739-0
Medical and Biotech [MESH] Definitions
After-hours Care
Medical care provided after the regular practice schedule of the physicians. Usually it is designed to deliver 24-hour-a-day and 365-day-a-year patient care coverage for emergencies, triage, pediatric care, or hospice care.
Community Health Planning
Planning that has the goals of improving health, improving accessibility to health services, and promoting efficiency in the provision of services and resources on a comprehensive basis for a whole community. (From Facts on File Dictionary of Health Care Management, 1988, p299)
Practice Valuation And Purchase
Determination of economic value of an established health care provider practice including value of patient lists, equipment, and other assets, and process of buying or selling rights to said practice.
Barbital
A long-acting barbiturate that depresses most metabolic processes at high doses. It is used as a hypnotic and sedative and may induce dependence. Barbital is also used in veterinary practice for central nervous system depression.
Decompression
Decompression external to the body, most often the slow lessening of external pressure on the whole body (especially in caisson workers, deep sea divers, and persons who ascend to great heights) to prevent DECOMPRESSION SICKNESS. It includes also sudden accidental decompression, but not surgical (local) decompression or decompression applied through body openings.
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