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Does GP training in depression care affect patient outcome? - A systematic review and meta-analysis
BACKGROUND: Primary care practices provide a gate-keeping function in many health care systems. Since depressive disorders are highly prevalent in primary care settings, reliable detection and diagnoses are a first step to enhance depression care for patients. Provider training is a self-evident app...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3266633/ https://www.ncbi.nlm.nih.gov/pubmed/22233833 http://dx.doi.org/10.1186/1472-6963-12-10 |
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author | Sikorski, Claudia Luppa, Melanie König, Hans-Helmut van den Bussche, Hendrik Riedel-Heller, Steffi G |
author_facet | Sikorski, Claudia Luppa, Melanie König, Hans-Helmut van den Bussche, Hendrik Riedel-Heller, Steffi G |
author_sort | Sikorski, Claudia |
collection | PubMed |
description | BACKGROUND: Primary care practices provide a gate-keeping function in many health care systems. Since depressive disorders are highly prevalent in primary care settings, reliable detection and diagnoses are a first step to enhance depression care for patients. Provider training is a self-evident approach to enhance detection, diagnoses and treatment options and might even lead to improved patient outcomes. METHODS: A systematic literature search was conducted reviewing research studies providing training of general practitioners, published from 1999 until May 2011, available on the electronic databases Medline, Web of Science, PsycINFO and the Cochrane Library as well as national guidelines and health technology assessments (HTA). RESULTS: 108 articles were fully assessed and 11 articles met the inclusion criteria and were included. Training of providers alone (even in a specific interventional method) did not result in improved patient outcomes. The additional implementation of guidelines and the use of more complex interventions in primary care yield a significant reduction in depressive symptomatology. The number of studies examining sole provider training is limited, and studies include different patient samples (new on-set cases vs. chronically depressed patients), which reduce comparability. CONCLUSIONS: This is the first overview of randomized controlled trials introducing GP training for depression care. Provider training by itself does not seem to improve depression care; however, if combined with additional guidelines implementation, results are promising for new-onset depression patient samples. Additional organizational structure changes in form of collaborative care models are more likely to show effects on depression care. |
format | Online Article Text |
id | pubmed-3266633 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-32666332012-01-27 Does GP training in depression care affect patient outcome? - A systematic review and meta-analysis Sikorski, Claudia Luppa, Melanie König, Hans-Helmut van den Bussche, Hendrik Riedel-Heller, Steffi G BMC Health Serv Res Research Article BACKGROUND: Primary care practices provide a gate-keeping function in many health care systems. Since depressive disorders are highly prevalent in primary care settings, reliable detection and diagnoses are a first step to enhance depression care for patients. Provider training is a self-evident approach to enhance detection, diagnoses and treatment options and might even lead to improved patient outcomes. METHODS: A systematic literature search was conducted reviewing research studies providing training of general practitioners, published from 1999 until May 2011, available on the electronic databases Medline, Web of Science, PsycINFO and the Cochrane Library as well as national guidelines and health technology assessments (HTA). RESULTS: 108 articles were fully assessed and 11 articles met the inclusion criteria and were included. Training of providers alone (even in a specific interventional method) did not result in improved patient outcomes. The additional implementation of guidelines and the use of more complex interventions in primary care yield a significant reduction in depressive symptomatology. The number of studies examining sole provider training is limited, and studies include different patient samples (new on-set cases vs. chronically depressed patients), which reduce comparability. CONCLUSIONS: This is the first overview of randomized controlled trials introducing GP training for depression care. Provider training by itself does not seem to improve depression care; however, if combined with additional guidelines implementation, results are promising for new-onset depression patient samples. Additional organizational structure changes in form of collaborative care models are more likely to show effects on depression care. BioMed Central 2012-01-10 /pmc/articles/PMC3266633/ /pubmed/22233833 http://dx.doi.org/10.1186/1472-6963-12-10 Text en Copyright ©2012 Sikorski et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Sikorski, Claudia Luppa, Melanie König, Hans-Helmut van den Bussche, Hendrik Riedel-Heller, Steffi G Does GP training in depression care affect patient outcome? - A systematic review and meta-analysis |
title | Does GP training in depression care affect patient outcome? - A systematic review and meta-analysis |
title_full | Does GP training in depression care affect patient outcome? - A systematic review and meta-analysis |
title_fullStr | Does GP training in depression care affect patient outcome? - A systematic review and meta-analysis |
title_full_unstemmed | Does GP training in depression care affect patient outcome? - A systematic review and meta-analysis |
title_short | Does GP training in depression care affect patient outcome? - A systematic review and meta-analysis |
title_sort | does gp training in depression care affect patient outcome? - a systematic review and meta-analysis |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3266633/ https://www.ncbi.nlm.nih.gov/pubmed/22233833 http://dx.doi.org/10.1186/1472-6963-12-10 |
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