Embedding effective depression care: using theory for primary care organisational and systems change

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Embedding effective depression care: using theory for primary care organisational and systems change

BACKGROUND Depression and related disorders represent a significant part of general practitioners (GPs) daily work. Implementing the evidence about what works for depression care into routine practice presents a challenge for researchers and service designers. The emerging consensus is that the transfer of efficacious interventions into routine practice is strongly linked to how well the interv...

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Review: comprehensive organisational and educational interventions appear to be effective for managing depression in primary care.

Gilbody S, Whitty P, Grimshaw J, et al. Educational and organizational interventions to improve the management of depression in primary care: a systematic review JAMA 2003;289:3145–51. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...

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Depression in Primary Care

Richard L. Elliott, MD, PhD Depression is common in primary care settings, affecting at least 10% of primary care patients. It carries medical and psychiatric comorbidity, increasing the risk of cardiovascular disease, diabetes, hypertension, stroke, medically unexplained (functional) symptoms, chronic pain, anxiety disorders, and substance abuse. Diagnosis and treatment are straightforward for...

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Smoke free health care: an organisational change to increase effective intervention for tobacco.

In 1999, the NSW Health Smoke Free Workplace Policy directed that grounds of health sites would become smoke free, in addition to the existing policy requiring smoke-free buildings. This was one of the first attempts by any health service to exclude tobacco entirely from health sites. This task required the adoption of evidence-based management of tobacco dependence and changing the culture of ...

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Implementation of "Chronic Care Model" for Diabetes Care in Iranian Primary Health Care: Does it work?

Objective: Traditional health care systems were not capable to face successfully with chronic diseases including diabetes mellitus. In this regard, the Chronic Care Model or CCM was created to promote quality of care. The aim of this study was to examine whether establishment of chronic care model, with focus on diabetic patients, has led to clinically significant outcomes in Iran. Materials a...

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ژورنال

عنوان ژورنال: Implementation Science

سال: 2010

ISSN: 1748-5908

DOI: 10.1186/1748-5908-5-62