Abstract
Records of patients included in a trial of educating practice teams about the management of depression were examined to determine changes in the process of care. There were no significant differences in the proportions recognised or treated for depression. Only 15% of those with possible, and 26% of those with probable, major depressive disorder were prescribed recommended doses and duration of antidepressants. The education apparently delayed a switch away from tricyclics while achieving a similar outcome. However health service costs were mainly non-psychiatric, and there were no significant savings as a result.
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Selected References
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- Anderson I. M., Nutt D. J., Deakin J. F. Evidence-based guidelines for treating depressive disorders with antidepressants: a revision of the 1993 British Association for Psychopharmacology guidelines. British Association for Psychopharmacology. J Psychopharmacol. 2000 Mar;14(1):3–20. doi: 10.1177/026988110001400101. [DOI] [PubMed] [Google Scholar]
- Kessler D., Lloyd K., Lewis G., Gray D. P. Cross sectional study of symptom attribution and recognition of depression and anxiety in primary care. BMJ. 1999 Feb 13;318(7181):436–439. doi: 10.1136/bmj.318.7181.436. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stevens L., Kinmonth A. L., Peveler R., Thompson C. The Hampshire Depression Project: development and piloting of clinical practice guidelines and education about depression in primary health care. Med Educ. 1997 Sep;31(5):375–379. doi: 10.1046/j.1365-2923.1997.00670.x. [DOI] [PubMed] [Google Scholar]
- Thompson C., Kinmonth A. L., Stevens L., Peveler R. C., Stevens A., Ostler K. J., Pickering R. M., Baker N. G., Henson A., Preece J. Effects of a clinical-practice guideline and practice-based education on detection and outcome of depression in primary care: Hampshire Depression Project randomised controlled trial. Lancet. 2000 Jan 15;355(9199):185–191. doi: 10.1016/s0140-6736(99)03171-2. [DOI] [PubMed] [Google Scholar]
- Wells K. B., Schoenbaum M., Unützer J., Lagomasino I. T., Rubenstein L. V. Quality of care for primary care patients with depression in managed care. Arch Fam Med. 1999 Nov-Dec;8(6):529–536. doi: 10.1001/archfami.8.6.529. [DOI] [PubMed] [Google Scholar]