Challenges of Implementing Depression Care Management in the Primary Care Setting

Collaborative care management of late-life depression in the primary care setting: a randomized controlled trial.

CONTEXT Few depressed older adults receive effective treatment in primary care settings. OBJECTIVE To determine the effectiveness of the Improving Mood-Promoting Access to Collaborative Treatment (IMPACT) collaborative care management program for late-life depression. DESIGN Randomized controlled trial with recruitment from July 1999 to August 2001. SETTING Eighteen primary care clinics f...

Management of Hyperthyroidism in Primary Care Setting

Hyperthyroidism is one the commonest endocrine diseases encountered in our daily practice. The classical features of hyperthyroidism include palpitation, tremor, heat intolerance, anxiety and weight loss despite increase in appetite. Although the clinical features are easy to recognise in most of the patients, it is important to recognise a large variety of atypical presentations. Some patients...

Staff management in Paediatric Primary care setting

In the last 6-7 years there has been a progressive increase in the use of nurses or secretaries in Paediatric Primary care setting. Regional incentives (few) and the rising (remarkable) of the workload and patients’ requests, convinced about the 40% of the italian Family Paediatricians (FP) to hire new staff. In the 70% of cases the employers were organized in working group in one private pract...

Treating depression and anxiety in the primary care setting.

Depression in primary care part 2: management.

The management of depression in the primary care setting should ideally take a biological, psychological, and sociological approach. Antidepressants are the most commonly used biological agents in the treatment of depression. Psychological therapies and psychosocial interventions improve the outcome of treatment when combined with pharmacotherapy. Clinical depression is treatable and thus effor...