Care Management Processes Used Less Often For Depression Than For Other Chronic Conditions In US Primary Care Practices
Autor: | Lawrence P. Casalino, Yuhua Bao, Harold Alan Pincus, Stephen M. Shortell, Tara F. Bishop, Patricia P. Ramsay |
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Rok vydání: | 2016 |
Předmět: |
Male
medicine.medical_specialty Databases Factual media_common.quotation_subject Alternative medicine Primary care Physicians Primary Care 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Outcome Assessment Health Care Diabetes Mellitus medicine Humans Quality (business) Longitudinal Studies 030212 general & internal medicine Practice Patterns Physicians' Psychiatry Management process Depression (differential diagnoses) Asthma media_common Heart Failure Primary Health Care Depression business.industry Health Policy medicine.disease United States Patient Care Management 030227 psychiatry Cross-Sectional Studies Family medicine Chronic Disease Survey data collection Female business Management of depression |
Zdroj: | Health Affairs. 35:394-400 |
ISSN: | 1544-5208 0278-2715 |
Popis: | Primary care physicians play an important role in the diagnosis and management of depression. Yet little is known about their use of care management processes for depression. Using national survey data for the period 2006-13, we assessed the use of five care management processes for depression and other chronic illnesses among primary care practices in the United States. We found significantly less use for depression than for asthma, congestive heart failure, or diabetes in 2012-13. On average, practices used fewer than one care management process for depression, and this level of use has not changed since 2006-07, regardless of practice size. In contrast, use of diabetes care management processes has increased significantly among larger practices. These findings may indicate that US primary care practices are not well equipped to manage depression as a chronic illness, despite the high proportion of depression care they provide. Policies that incentivize depression care management, including additional quality metrics, should be considered. |
Databáze: | OpenAIRE |
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