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December 2004 (Volume 82)
December 2004 | Amy M. Kilbourne, Herbert C. Schulberg, Edward P. Post, Bruce L. Rollman, Bea Herbeck Belnap, Harold Alan Pincus
Randomized controlled trials have demonstrated the efficacy and cost-effectiveness of using treatment models for major depression in primary care settings. Nonetheless, translating these models into enduring changes in routine primary care has proved difficult. Various health system and organizational barriers prevent the integration of these models into primary care settings. This article discusses barriers to introducing and sustaining evidence-based depression management services in community-based primary care practices and suggests organizational and financial solutions based on the Robert Wood Johnson Foundation Depression in Primary Care Program. It focuses on strategies to improve depression care in medical settings based on adaptations of the chronic care model and discusses the challenges of implementing evidence-based depression care given the structural, financial, and cultural separation between mental health and general medical care.
Author(s): Amy M. Kilbourne; Herbert C. Schulberg; Edward P. Post; Bruce L. Rollman; Bea Herbeck Belnap; Harold Alan Pincus
Keywords: patient care management; delivery of health care; integrated quality of care; depressive disorder; depression
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Volume 82, Issue 4 (pages 631–659)
Published in 2004
Evidence-Based Medicine, Heterogeneity of Treatment Effects, and the Trouble with Averages
Diffusion of Innovations in Service Organizations: Systematic Review and Recommendations
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