title: Development and impact of computerised decision support systems for clinical management of depression: A systematic review.
abstract: One of the proposals for improving clinical practice is to introduce computerised decision support systems (CDSS) and integrate these with electronic medical records. Accordingly, this study sought to systematically review evidence on the effectiveness of CDSS in the management of depression. A search was performed in Medline, EMBASE and PsycInfo, in order to do this. The quality of quantitative studies was assessed using the SIGN method, and qualitative studies using the CASPe checklist. Seven studies were identified (3 randomised clinical trials, 3 non-randomised trials, and one qualitative study). The CDSS assessed incorporated content drawn from guidelines and other evidence-based products. In general, the CDSS had a positive impact on different aspects, such as the screening and diagnosis, treatment, improvement in depressive symptoms and quality of life, and referral of patients. The use of CDSS could thus serve to optimise care of depression in various scenarios by providing recommendations based on the best evidence available and facilitating decision-making in clinical practice.
authors.affiliation: Agencia de Evaluación de Tecnologías Sanitarias de Galicia, Consellería de Sanidade, Santiago de Compostela, A Coruña, España. Electronic address: avalia-t3@sergas.es.
authors.forename: Yolanda
authors.initials: Y
authors.lastname: Triñanes
authors.affiliation: Agencia de Evaluación de Tecnologías Sanitarias de Galicia, Consellería de Sanidade, Santiago de Compostela, A Coruña, España.
authors.forename: Gerardo
authors.initials: G
authors.lastname: Atienza
authors.affiliation: Centro de Salud de Cambre, Estructura de Gestión Integrada de A Coruña, A Coruña, España.
authors.forename: Arturo
authors.initials: A
authors.lastname: Louro-González
authors.affiliation: Servicio de Psiquiatría, Estructura Organizativa de Gestión Integrada de Vigo, Vigo, Pontevedra, España.
authors.forename: Elena
authors.initials: E
authors.lastname: de-las-Heras-Liñero
authors.affiliation: Servicio de Psiquiatría, Estructura Organizativa de Gestión Integrada de Vigo, Vigo, Pontevedra, España.
authors.forename: María
authors.initials: M
authors.lastname: Alvarez-Ariza
authors.affiliation: Corporació Sanitària Parc Taulí, Sabadell, Barcelona, España.
authors.forename: Diego J
authors.initials: DJ
authors.lastname: Palao
mesh_terms: D000066491:Clinical Decision-Making / Q000379:methods; D020000:Decision Support Systems, Clinical; D003863:Depression / Q000175:diagnosis / Q000628:therapy*; D003866:Depressive Disorder / Q000175:diagnosis / Q000628:therapy*; D057286:Electronic Health Records; D006801:Humans; D010043:Outcome and Process Assessment, Health Care; D011788:Quality of Life; D012017:Referral and Consultation
keywords: Clinical practice guidelines; Computerised decision support systems; Depresión; Depression; Electronic health record; Guías de práctica clínica; Historia clínica electrónica; Sistemas informatizados de apoyo a las decisiones