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• W2404578599 abstract "underresourced. Many randomized controlled trials have shown that system changes improve the care of depressed patients in the primary care setting. These changes include initial assessment of depression diagnostic criteria and severity using standard instruments, tracking and monitoring treatment effectiveness, stepped care for treatment intensification as needed, and relapse prevention. 7-15 Another key role in these trials is a care manager (ideally in the primary care setting) who provides patients with education, support, and care coordination, and facilitates psychiatric consultation and mental health therapy for patients who are not improving. Screening for case-finding could be added to the above list once the rest of the system is in place, as was recommended by the US Preventive Services Task Force (USPSTF). 16 Compared with other chronic conditions such as diabetes and coronary artery disease, depression care is improving more slowly. Although the present Health Plan Employer Data and Information Set (HEDIS) benchmarks may not be ideal for measuring depression care, they provide a national standard for comparison. Mean HEDIS rates for medication adherence for 3 and 6 months and optimal practitioner contacts in 2005 (61%, 45%, and 21%) have changed little since 2001 (57%, 40%, and 20%, respectively) for patients with commercial insurance. 17,18 Mean HEDIS rates for these measures are even lower and have improved less for Medicare and Medicaid patients. While the HEDIS measures for depression care show higher rates of 3- and 6-month medication adherence in Minnesota compared with the nation as a whole, the numbers are not showing improvement in Minnesota. For example, 6-month medication adherence in Minnesota (for all types of insurance) was 49% in 2002, 51% in 2003, and 49% in 2004. 19" @default.
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• W2404578599 date "2007-06-01" @default.
• W2404578599 modified "2023-10-12" @default.
• W2404578599 title "Use of practice system tools by medical groups for depression." @default.
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