Primary care physician perspective on management of patients with depression.
OBJECTIVE
To discuss the relationship between the primary care physician and other health care professionals and best practice strategies in the management of depression.


CONCLUSIONS
Useful chronic clinical models can transform a visit between a patient with depression and the primary care provider from an unfocused encounter to one that is anticipated, planned, and productive. With the proper decision and organizational support to manage their patients with depression, primary care providers will have the increased confidence to treat these patients and have more knowledge about the treatment plan, whether that is a referral or continuation of treatment in the provider.s office.


CONCLUSIONS
The primary care provider must recognize that he or she cannot work alone. In addition to decision support and clinical information systems, there needs to be a delivery system that supports a depression care manager and identifies the patient as the key player in the system. Participation and cooperation by the entire health care system will determine the success of such depression care models.
Ford
Daniel E
DE
Johns Hopkins University School of Medicine, Suite 2-500 (Room 2-518), 2024 East Monument St., Baltimore, MD, 21287-0007, USA. dford@jhmi.edu
D003695:Delivery of Health Care / Q000458:organization & administration; D003863:Depression / Q000188:drug therapy*; D019468:Disease Management; D006801:Humans; D010821:Physicians, Family / Q000523:psychology*; D010818:Practice Patterns, Physicians'; D014481:United States