|Availability of Chronic Disease Management
||Overall Rank: 13
Availability of chronic disease management strategies (including collaborative care) and additional strategies (such as self-management) improves the detection and care of patients with depression.
Domain : Shared Care
Collaboration between providers from primary health care and mental health disciplines who share the responsibility for the care an individual receives.
Additional Domain(s) : Patients with Chronic Conditions, Patients with Mood Disorders
Pooled results for disease management program effects on symptoms of depression showed statistically significant improvements (effect size=0.33, N=24). Programs also had statistically significant effects on patients' satisfaction with treatment (effect size=0.51, N=6), patients' compliance with the recommended treatment regimen (effect size=0.36, N=7), and adequacy of prescribed treatment (effect size=0.44, N=11). Disease management programs increased health care utilization (effect size=-0.10, N=8), treatment costs (effect size=-1.03, N=3), and hospitalization (effect size=-0.20, N=2).
Badamgarav E, Weingarten SR, Henning JM, Knight K, Hasselblad V, Gano A Jr, Ofman JJ. Effectiveness of disease management programs in depression: a systematic review. Am J Psychiatry. 2003 Dec;160(12):2080-90. Review.
Level of Evidence
I: Consistently higher quality studies specifically focused on primary mental health care.
Variation in Results
Special Group Rank