Evidence-based care for depression in managed primary care practices

Health Aff (Millwood). 1999 Sep-Oct;18(5):89-105. doi: 10.1377/hlthaff.18.5.89.

Abstract

This paper evaluates whether externally designed, evidence-based interventions for improving care for depression can be locally implemented in managed care organizations. The interventions were carried out as part of a randomized trial involving forty-six practices within six diverse, nonacademic managed care plans. Based on evaluation of adherence to the intervention protocol, we determined that local practice leaders are able to implement predesigned interventions for improving depression care. Adherence rates for most key intervention activities were above 70 percent, and many were near 100 percent. Three intervention activities fell short of the goal of 70 percent implementation and should be targets for future improvement.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Depressive Disorder / diagnosis
  • Depressive Disorder / therapy*
  • Evidence-Based Medicine*
  • Humans
  • Managed Care Programs*
  • Outcome Assessment, Health Care
  • Patient Care Team*
  • Primary Health Care
  • Quality Assurance, Health Care
  • United States