Evidence map›Paper›PMID 21598053›Full record

ArticleJournal of general internal medicine2011

Prevalence of practice system tools for improving depression care among primary care clinics: the DIAMOND initiative.

Karen L Margolis, Leif I Solberg, A Lauren Crain, Robin R Whitebird, Kristin A Ohnsorg, Nancy Jaeckels, Gary Oftedahl, Russell E Glasgow

Abstract readComparative StudyMulticenter Study
In one paragraph

Article in Journal of general internal medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Karen L MargolisHealthPartners Research Foundation, 8170 33rd Avenue South, Minneapolis, MN 55425, USA. karen.l.margolis@healthpartners.com
Leif I Solberg
A Lauren Crain
Robin R Whitebird
Kristin A Ohnsorg
Nancy Jaeckels
Gary Oftedahl
Russell E Glasgow

Funding

Evaluation of a Natural Experiment to Improve Statewide Depression Care in MNR01MH080692 · NIMH · HEALTHPARTNERS INSTITUTE · PI SOLBERG, LEIF I · 2007 to 2011
$3.2M
NIMH NIH HHS 5R01MH080692NIMH NIH HHS R01 MH080692
6 · The paper itself

Abstract

backgroundPractice system tools improve chronic disease care, but are generally lacking for the care of depression in most primary care settings.

objectiveTo describe the frequency of various depression-related practice system tools among Minnesota primary care clinics interested in improving depression care.

designCross-sectional survey.

participantsPhysician leaders of 82 clinics in Minnesota. MAIN MEASURES: A survey including practice systems recommended for care of depression and chronic conditions, each scored on a 100-point scale, and the clinic's priority for improving depression care on a 10-point scale. KEY

resultsFewer practice systems tools were present and functioning well for depression care (score = 24.4 [SD 1.6]) than for the care of chronic conditions in general (score = 43.9 [SD 1.6]), p < 0.001. The average priority for improving depression care was 5.8 (SD 2.3). There was not a significant correlation between the presence of practice systems for depression or chronic disease care and the priority for depression care except for a modest correlation with the depression Decision Support subscale (r = 0.29, p = 0.008). Certain staffing patterns, a metropolitan-area clinic location, and the presence of a fully functional electronic medical record were associated with the presence of more practice system tools.

conclusionsFew practice system tools are in place for improving depression care in Minnesota primary care clinics, and these are less well-developed than general chronic disease practice systems. Future research should focus on demonstrating whether implementing these tools for depression care results in much-needed improvements in care for patients with depression.

Indexed as

AdultAmbulatory Care FacilitiesCross-Sectional StudiesDepressive DisorderFollow-Up StudiesHumansMinnesotaPractice Guidelines as TopicPrevalencePrimary Health Care

Identifiers

PMID21598053
PMCPMC3157530

What OpenQuestion holds

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Registered trials

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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.