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Implementation of psychiatric guidelines and evidence-based knowledge in the primary care sector : a systematic review : summary and conclusions

Author: Statens beredning för medicinsk utvärdering (Sweden),
Publisher: Stockholm, Sweden : Swedish Council on Health Technology Assessment, June 2012.
Series: SBU-rapport, no. 211.
Edition/Format:   eBook : Document : National government publication : EnglishView all editions and formats
Summary:
An effective implementation strategy involves strengthening the primary care organisation with specially trained professionals, e.g. nurses (referred to as care managers in the studies) responsible for support and continual contact with patients suffering from depression; and combining this with other interventions, e.g. education of care teams and feedback of patient data to physicians. Physicians write more  Read more...
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Details

Genre/Form: Systematic Review
Material Type: Document, Government publication, National government publication, Internet resource
Document Type: Internet Resource, Computer File
All Authors / Contributors: Statens beredning för medicinsk utvärdering (Sweden),
OCLC Number: 1089880882
Notes: "English translation of the summary: Ron Gustafson"--Page 3.
"Summary and conclusions of the SBU report"--Page 3.
Description: 1 online resource (1 PDF file (22 pages)).
Series Title: SBU-rapport, no. 211.
Other Titles: Implementeringsstöd för psykiatrisk evidens i primärvården.
Responsibility: Swedish Council on Health Technology Assessment.

Abstract:

An effective implementation strategy involves strengthening the primary care organisation with specially trained professionals, e.g. nurses (referred to as care managers in the studies) responsible for support and continual contact with patients suffering from depression; and combining this with other interventions, e.g. education of care teams and feedback of patient data to physicians. Physicians write more appropriate prescriptions for antidepressants, and patients' symptoms decrease. The effects last for at least 6 months after the completed intervention. We could not determine if the effects last longer since too few studies include repeated measurements. The interventions are cost-effective. The effects of implementation depend on the context and nature of the change process. Hence, studies and systematic reviews should be complemented with methodology that illuminates contextual factors and the implementation process.

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