Implementation of guideline-based care for depression in primary care.
Evidence-based clinical practice guidelines for treating depression in primary care settings were developed, in part, to ensure that health services are provided in a consistent, high-quality, and cost-effective manner. Yet for a variety of reasons, guideline-based primary care for depression remains the exception rather than the rule. This work provides a brief review of effective strategies used to customize and then deliver evidence-based treatment for depression in primary care settings; describes two representative case studies that illustrate locally customized collaborative care strategies for treatment delivery; and concludes with principles and implications for policy and practice based on our practical experiences.
Rollman
Bruce L
BL
Center for Research on Health Care, University of Pittsburgh School of Medicine, Pittsburgh, PA 5213-2582, USA. rollmanbl@upmc.edu
Weinreb
Linda
L
Korsen
Neil
N
Schulberg
Herbert C
HC
D003863:Depression / Q000628:therapy*; D004059:Diffusion of Innovation; D006801:Humans; D017410:Practice Guidelines as Topic; D011320:Primary Health Care / Q000458:organization & administration*; D014481:United States