Quality Improvement Research on Late Life Depression in Primary Care
Bibliographic Data
| ID | 9103280 |
|---|---|
| Authors | Christopher M Callahan (0000-0002-4617-6672, Regenstrief Institute, corresponding author) |
| Year | 2001 |
| Volume | 39 |
| Issue | 8 |
| Pages | 772-784 |
| Publication date | 2001-08-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-200108000-00004 |
| PMID | 11468497 |
| OpenAlex | W2065801371 |
| Language | EN |
| Citations received | 10 |
| References cited | 116 |
BACKGROUND: Two million older Americans suffer from depression annually. Depression causes more functional impairment than many other common medical conditions and older adults have the highest rate of suicide in the United States. Although many of these patients fail to seek or fail to receive care for depression, the majority will be seen in primary care for the treatment of other conditions. OBJECTIVE: To review the health services research on quality improvement for late life depression. METHODS: Qualitative literature review. RESULTS: During the past 30 years, multiple educational and quality improvement interventions have been designed and tested to improve the recognition and treatment of depression in primary care settings. The findings from this large body of health services research suggest that: (1) the outcome of major depression in the usual care of primary care is typically poor; this is particularly true of late life depression; (2) informational support provided to primary care physicians is necessary but insufficient to improve the outcomes of late life depression in primary care; achieving guideline-level therapy requires the substantial participation of an informed and motivated patient working in concert with a health care team and health care system designed to care for chronic conditions; (3) up to 30% of older primary care patients will fail to respond to excellent guideline-level therapy provided in primary care; and (4) the latest quality improvement efforts focus not only on the clinical skills of primary care physicians, but also on patient's self-care and on innovative strategies to improve the system of care. CONCLUSIONS: Late life depression is often a chronic disease and outcomes research demonstrates that quality improvement efforts that focus resources on improving systems of care and the active participation of patients offer the best evidence of improved patient outcomes
Ambulatory care · Cognition · Curative care · Depression (economics) · Family medicine · Guideline · Health care · Late life depression · MEDLINE · Primary care · Psychiatry · Psychological intervention · Quality of life (healthcare) · Chronic Disease Management Strategies · Medicine · Mental Health Treatment and Access · Nursing · Primary Care and Health Outcomes
Improving the Primary Care Treatment of Late Life Depression
Collaborative Care Management of Late-Life Depression in the Primary Care Setting
The Active Cognitive Training Interventions and the Onset of and Recovery from Suspected Clinical Depression
The Meaning and Significance of Self-Management Among Socioeconomically Vulnerable Older Adults
Project Direct
Measuring the Quality of Depression Care in a Large Integrated Health System
Improving Depression Care for Older, Minority Patients in Primary Care
Barriers to Improving Primary Care of Depression
The impact of mental health support for the chronically ill on hospital utilisation
Primary care professionals' perceptions of depression in older people
Patterns of Usual Care for Schizophrenia
Organizing Care for Patients with Chronic Illness
Lifetime Prevalence of Specific Psychiatric Disorders in Three Sites
Depression, Disability Days, and Days Lost From Work in a Prospective Epidemiologic Survey
National Institute of Mental Health Treatment of Depression Collaborative Research Program
The De Facto US Mental Health Services System
Impact of Disseminating Quality Improvement Programs for Depression in Managed Primary Care
Development and validation of a geriatric depression screening scale
Treatment Costs, Cost Offset, and Cost-Effectiveness of Collaborative Management of Depression
Achieving Guidelines for the Treatment of Depression in Primary Care
Improving Physicians?? Recognition and Treatment of Depression in General Medical Care
Effect of Mental Health Specialty Care on Antidepressant Length of Therapy
An Experiment to Change Detection and Management of Mental Morbidity in Primary Care
Adequacy and Duration of Antidepressant Treatment in Primary Care
| Unique citing works | 10 |
|---|---|
| Citations per year | 0,4 |
| Citation span | 2001 - 2022 (22) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 9 |