BMJ  2004;329 (11 September), doi:10.1136/bmj.329.7466.0-b

Evidence based model improves care of depression

Evidence based management models can improve the care of patients with depression. Dietrich and colleagues (p 602) randomised 405 patients aged 18 years to the intervention (which consisted of a systematic approach to the assessment and management of depression, with staff providing telephone support under supervision from a psychiatrist) or to standard care. Patients who had the intervention were more likely to show remission at six months (37% v 27%, P = 0.014) or to rate their depression care as good or excellent (90% v 75%, P = 0.0003). Each major disease may need its own care manager, comments Von Korff (p 605); whether and how care management will be integrated into routine practice remains an open and important issue.

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