ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2004
Improving access to depression care: descriptive report of a multidisciplinary primary care pilot service.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03628027 (The Antidepressant Advisor), which is not on this map. Cited by 6 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Antidepressant Advisor: A Decision Support System for UK Primary care-a Feasibility Study
Who cites it
6 citing papers in PubMed, 16 citations in OpenAlex.
- Typology of organizational innovation components: building blocks to improve access to primary healthcare for vulnerable populations.International journal for equity in health · 2020Review
- Article
- Depression care for the elderly: reducing barriers to evidence-based practice.Home health care services quarterly · 2006Review
- Managing depression in primary care.BMJ (Clinical research ed.) · 2005Article
- Health care assistants in primary care depression management: role perception, burdening factors, and disease conception.Annals of family medicineArticle
- Depression Screening and Measurement-Based Care in Primary Care.Journal of primary care & community healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundResearch has identified a need for improved depression care in primary care, while current United Kingdom (UK) health policy outlines standards for the management of the condition, including improved access to care. Innovative ways of working are needed to address these standards and provide better care.
aimsTo pilot a multidisciplinary service for the management of depressed patients with a particular focus on facilitating access. DESIGN OF STUDY: Uncontrolled descriptive pilot study.
settingOne general practice in inner London.
methodsThe service was advertised by post to all 6689 adult patients registered with the practice. It provided open access and face-to-face assessment by a specially trained primary care nurse for patients who considered themselves to be depressed. Following assessment, depressed patients received systematic telephone support from nursing staff in addition to the usual care from the general practitioners (GPs). The ser vice was evaluated for a 6-month period.
resultsSixty-six people, aged 19-77 years, 44 of them female, contacted the service, the majority in the first 2 months. Fifty-four patients were offered an assessment by the nurse. Thirty-five (80%) of the 44 attendees fulfilled criteria for major depression. Between them, the nurses and doctors achieved high levels of adherence to treatment and follow-up. This specialist service appears to have enabled a group of depressed patients, some of whom may not have sought or received help, to gain access to primary care. With appropriate supervision and training in depression care the nurses were able to assess and support depressed patients and this appeared to be acceptable to both patients and GPs.
conclusionIn its present form the service would not be cost-effective. However, we believe it could be adapted to suit the needs of individual or clusters of practices incorporating key elements of the service (open access and case management, in particular), and further evaluation by a controlled trial is suggested.
Indexed as
Identifiers
15353054PMC1326069W2114559154What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.