| 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
Rationale
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).
Primary Reference
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.
PMID: 14638573
Level of Evidence
I: Consistently higher quality studies specifically focused on primary mental health care.
Variation in Results
|
Ratings-based Rank
| Relevance |
17 |
| Actionability |
17 |
| Overall Importance |
18 |
|
|
Stakeholder Rank
| Academics |
7 |
| Clinicians |
7 |
| Consumers |
31 |
| Decision Makers |
24 |
� |
|
Special Group Rank
| First Nations |
13 |
| Rural Areas |
22 |
| Federal Stakeholders |
8 |
|
Regional Rank
| BC |
AB |
SK |
MB |
ON |
QC |
NB |
NS |
PE |
NL |
YT |
NT |
NU |
| 4 |
2 |
28 |
2 |
6 |
55 |
46 |
59 |
40 |
24 |
50 |
56 |
37 |
|
|
Overall Rank
|
ceqm-acmq.com