NHG-Standaard Depressieve stoornis (depressie)

Marwijk, H.W.J. van; Grundmeijer, H. G. L. M.; Bijl, D; Gelderen, M G Van; Haan, M De; Weel-Baumgarten, E M Van; Burgers, J S; Boukes, F S; Romeijnders, A C M

doi:10.1007/978-90-313-6614-9_28

Cited by 23 publications

(35 citation statements)

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“…The Multidisciplinary Guideline for Depressive Disorder, adopted in 2005 by a range of professional organizations in specialised mental health, and the depression standard, adopted by general practitioners in 2003 [11, 12]. Following depression guidelines can be of value to professionals as applying the effective interventions recommended in guidelines can lead to better outcomes for patients and to lower costs to society [13–18].…”

Section: Introductionmentioning

confidence: 99%

Quality improvement in depression care in the Netherlands: the Depression Breakthrough Collaborative. A quality improvement report

Franx¹,

Meeuwissen²,

Sinnema³

et al. 2009

Int J Integr Care

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Section: Introductionmentioning

confidence: 99%

Quality improvement in depression care in the Netherlands: the Depression Breakthrough Collaborative. A quality improvement report

Franx¹,

Meeuwissen²,

Sinnema³

et al. 2009

Int J Integr Care

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“…Dutch GPs are encouraged to work according to guidelines issued by the Dutch College of GPs [21,22]. The depression guidelines recommend that treatment of depression primarily consists of education and coaching.…”

Section: Methodsmentioning

confidence: 99%

Cost-effectiveness of problem-solving treatment in comparison with usual care for primary care patients with mental health problems: a randomized trial

et al. 2012

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BackgroundMental health problems are common and are associated with increased disability and health care costs. Problem-Solving Treatment (PST) delivered to these patients by nurses in primary care might be efficient. The aim of this study was to evaluate the cost-effectiveness of PST by mental health nurses compared with usual care (UC) by the general practitioner for primary care patients with mental health problems.MethodsAn economic evaluation from a societal perspective was performed alongside a randomized clinical trial. Patients with a positive General Health Questionnaire score (score ≥ 4) and who visited their general practitioner at least three times during the past 6 months were eligible. Outcome measures were improvement on the Hospital Anxiety and Depression Scale and QALYs based on the EQ-5D. Resource use was measured using a validated questionnaire. Missing cost and effect data were imputed using multiple imputation techniques. Bootstrapping was used to analyze costs and cost-effectiveness of PST compared with UC.ResultsThere were no statistically significant differences in clinical outcomes at 9 months. Mean total costs were €4795 in the PST group and €6857 in the UC group. Costs were not statistically significantly different between the two groups (95% CI -4698;359). The cost-effectiveness analysis showed that PST was cost-effective in comparison with UC. Sensitivity analyses confirmed these findings.ConclusionsPST delivered by nurses seems cost-effective in comparison with UC. However, these results should be interpreted with caution, since the difference in total costs was mainly caused by 3 outliers with extremely high indirect costs in the UC group.Trial registrationNederlands Trial Register ISRCTN51021015

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“…The prevalence of depressive disorder in primary care is 6–25% annually, and 10% in men, 20% in women on a lifetime basis [2]. Worldwide at least 10% of primary care mental problems are anxiety disorders [1].…”

Section: Introductionmentioning

confidence: 99%

“…Now, a change in reimbursement system is being effectuated in the Netherlands: as of January 2008, professionals treating patients for mental illness will be reimbursed based on the Diagnosis Treatment Combinations or DBCs. Evidence-based treatment is described for Depressive disorder, anxiety disorder and somatoform disorder in the Multidisciplinary Guideline for Depressive disorder [25], the NHG Standard for Depressive disorder [2], and the Multidisciplinary Guideline for anxiety disorder [26]. For somatoform disorder, a multidisciplinary guideline is currently being developed.…”

Section: Introductionmentioning

confidence: 99%

Treatment of mental disorder in the primary care setting in the Netherlands in the light of the new reimbursement system: a challenge?

Feltz-Cornelis¹,

Knispel²,

Elfeddali³

2008

Int J Integr Care

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IntroductionDifferent professionals provide health care for mental disorder in the primary care setting. In view of the changing reimbursement system in the Netherlands, information is needed on their specific expertise.MethodThis study attempts to describe this by literature study, by assessment of expert opinions, and by consulting Associations of the relevant professions.ResultsThere is no clear differentiation of expertise and tasks amongst these professionals in primary care. Notably, distinction between different psychotherapeutic treatment modes provided by psychologists is unclear.DiscussionResearch is needed to assess actual treatment modules in correlation with patient diagnostic classification for the different professions in primary care. An alternative way of classifying patients, that takes into account not only mental disorder or problems but especially the level of functioning, is proposed to discern which patients can be treated in primary care, and which patients should not. Integrated care models are promising, because many professionals can be involved in treatment of mental disorder in the primary care setting; especially for collaborative care models, evidence favours the treatment of common mental disorders in this setting.ConclusionIntegrated care models, such as collaborative care, provide a basis for multidisciplinary care for mental disorder in the primary care setting. Professional responsibilities should be clearly differentiated in order to facilitate integrated care. The level of functioning of patients with mental disorder can be used as indication criterion for treatment in the primary care setting or in Mental Health Institutions. Research to establish the feasibility of this model is needed.

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NHG-Standaard Depressieve stoornis (depressie)

Cited by 23 publications

References 0 publications

Quality improvement in depression care in the Netherlands: the Depression Breakthrough Collaborative. A quality improvement report

Quality improvement in depression care in the Netherlands: the Depression Breakthrough Collaborative. A quality improvement report

Cost-effectiveness of problem-solving treatment in comparison with usual care for primary care patients with mental health problems: a randomized trial

Treatment of mental disorder in the primary care setting in the Netherlands in the light of the new reimbursement system: a challenge?

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