Models in the delivery of depression care: A systematic review of randomised and controlled intervention trials

Abstract

Background: There is still debate as to which features, types or components of primary care interventions are associated with improved depression outcomes. Previous reviews have focused on components of collaborative care models in general practice settings. This paper aims to determine the effective components of depression care in primary care through a systematic examination of both general practice and community based intervention trials.

Depression and anxiety in inflammatory bowel disease: A review of comorbidity and management

“…There appear to be advantages to providing the preferred form of care when it is available, as this can facilitate adherence to treatment recommendations. 95,97,111 This process of reviewing treatment choices with the patient and then following up on treatment decisions is outlined in Tables 1 and 3. Table 3 emphasizes the importance of following up after treatment has been implemented to monitor response to the planned intervention.…”

“…94 Given the high prevalence of anxiety and depression, it can be challenging to provide appropriate services in a timely fashion. 93,94,97 Anxiety and depression are highly treatable conditions. The interventions that are most widely used and have been evaluated most extensively for anxiety and depressive disorders are specific pharmacological agents (particularly the selective serotonin reuptake inhibitors (SSRI) such as citalopram, fluoxetine, fluvoxamine, paroxetine, and sertraline, and the serotonin norepinephrine reuptake inhibitor (SNRI) venlafaxine) and specific psychological treatments (particularly the cognitive behavior therapies).…”

Modelos de colaboración entre atención primaria y salud mental en la asistencia sanitaria a las personas con depresión: resultados principales y retos metodológicos de una meta-revisión sistemática

“…Escasez de estudios aleatorizados con trolados debido a la complejidad de las intervenciones 10,29 y variabilidad en la cali dad metodológica de los estudios prima rios 8,41,47,53,66,68 . La atención habitual con la que se compara la efectividad de los mode los e intervenciones con frecuencia es hete rogénea 51 o poco detallada 8,66,69 .…”

“…La atención habitual con la que se compara la efectividad de los mode los e intervenciones con frecuencia es hete rogénea 51 o poco detallada 8,66,69 .…”

“…Se trata de modelos muy variables según su configuración como programas más o menos integrados. Destaca como componente característico la existencia de un care manager o case manager responsa ble de la coordinación y el seguimiento de los pacientes 83,84 , con gran variabilidad de profesiones, roles y poblaciones implica dos 41,65,85 , lo cual dificulta su evalua ción 8,33,37,42,59 . Los programas de gestión de enfermedades parecen ser efectivos en la atención a la depresión 42 .…”