title: [A computerised clinical decision-support system for the management of depression in Primary Care].
abstract: Despite its clinical relevance and its importance as a public health problem, there are major gaps in the management of depression. Evidence-based clinical guidelines are useful to improve processes and clinical outcomes. In order to make their implementation easier these guidelines have been transformed into computerised clinical decision support systems. In this article, a description is presented on the basics and characteristics of a new computerised clinical guideline for the management of major depression, developed in the public health system in Catalonia. This tool helps the clinician to establish reliable and accurate diagnoses of depression, to choose the best treatment a priori according to the disease and the patient characteristics. It also emphasises the importance of systematic monitoring to assess the clinical course, and to adjust therapeutic interventions to the patient's needs at all times.
authors.affiliation: Atenció Primària Camp de Tarragona, Institut Català de la Salut, Tarragona, España; Institut d'Investigació en Atenció Primària (IDIAP) Jordi Gol, Barcelona, España. Electronic address: earagones.tarte.ics@gencat.cat.
authors.forename: Enric
authors.initials: E
authors.lastname: Aragonès
authors.affiliation: Centre d'Atenció Primària Pare Claret, Institut Català de la Salut, Barcelona, España.
authors.forename: Eva
authors.initials: E
authors.lastname: Comín
authors.affiliation: Centre Salut Mental Esquerra Eixample, Hospital Clínic, Barcelona, España; Departament de Psiquiatria i Medicina Legal, Universitat Autònoma de Barcelona, Cerdanyola del Vallès, Barcelona, España.
authors.forename: Myriam
authors.initials: M
authors.lastname: Cavero
authors.affiliation: Departament de Psiquiatria i Medicina Legal, Universitat Autònoma de Barcelona, Cerdanyola del Vallès, Barcelona, España; Institut de Neuropsiquiatria i Addiccions, Hospital del Mar, Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Barcelona, España; CIBERSAM, Madrid, España.
authors.forename: Víctor
authors.initials: V
authors.lastname: Pérez
authors.affiliation: Pla Director de Salut Mental i Addiccions, Departament de Salut, Generalitat de Catalunya, Barcelona, España.
authors.forename: Cristina
authors.initials: C
authors.lastname: Molina
authors.affiliation: Departament de Psiquiatria i Medicina Legal, Universitat Autònoma de Barcelona, Cerdanyola del Vallès, Barcelona, España; CIBERSAM, Madrid, España; Servei de Salut Mental, Hospital Universitari Parc Taulí, Sabadell, Barcelona, España. Electronic address: dpalao@tauli.cat.
authors.forename: Diego
authors.initials: D
authors.lastname: Palao
mesh_terms: D000465:Algorithms; D020000:Decision Support Systems, Clinical; D003863:Depression / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D011320:Primary Health Care
keywords: Atención primaria de salud; Clinical practice guideline; Computer-assisted decision making; Electronic clinical record; Guía de práctica clínica; Historia clínica electrónica; Major depressive disorder; Primary health care; Toma de decisiones asistida por ordenador; Trastorno depresivo mayor