TY - JOUR
KW - Asthma/diagnosis/therapy
KW - Chronic Disease/therapy
KW - Cross-Sectional Studies
KW - Databases, Factual
KW - Depression/diagnosis/therapy
KW - Diabetes Mellitus/diagnosis/therapy
KW - Female
KW - Heart Failure/diagnosis/therapy
KW - Humans
KW - Longitudinal Studies
KW - Male
KW - Mental Health/Substance Abuse
KW - Outcome Assessment (Health Care)
KW - Patient Care Management/organization & administration
KW - Physicians, Primary Care/statistics & numerical data
KW - Practice Patterns, Physicians'/organization & administration
KW - primary care
KW - Primary Health Care/standards/trends
KW - Surveys and Questionnaires
KW - United States
AU - T. F. Bishop
AU - P. P. Ramsay
AU - L. P. Casalino
AU - Y. Bao
AU - H. A. Pincus
AU - S. M. Shortell
A1 - 
AB - Primary care physicians play an important role in the diagnosis and management of depression. Yet little is known about their use of care management processes for depression. Using national survey data for the period 2006-13, we assessed the use of five care management processes for depression and other chronic illnesses among primary care practices in the United States. We found significantly less use for depression than for asthma, congestive heart failure, or diabetes in 2012-13. On average, practices used fewer than one care management process for depression, and this level of use has not changed since 2006-07, regardless of practice size. In contrast, use of diabetes care management processes has increased significantly among larger practices. These findings may indicate that US primary care practices are not well equipped to manage depression as a chronic illness, despite the high proportion of depression care they provide. Policies that incentivize depression care management, including additional quality metrics, should be considered.
BT - Health affairs (Project Hope)
C5 - General Literature
CP - 3
CY - United States
DO - 10.1377/hlthaff.2015.1068
IS - 3
JF - Health affairs (Project Hope)
N2 - Primary care physicians play an important role in the diagnosis and management of depression. Yet little is known about their use of care management processes for depression. Using national survey data for the period 2006-13, we assessed the use of five care management processes for depression and other chronic illnesses among primary care practices in the United States. We found significantly less use for depression than for asthma, congestive heart failure, or diabetes in 2012-13. On average, practices used fewer than one care management process for depression, and this level of use has not changed since 2006-07, regardless of practice size. In contrast, use of diabetes care management processes has increased significantly among larger practices. These findings may indicate that US primary care practices are not well equipped to manage depression as a chronic illness, despite the high proportion of depression care they provide. Policies that incentivize depression care management, including additional quality metrics, should be considered.
PP - United States
PY - 2016
SN - 1544-5208; 0278-2715
SP - 394
EP - 400
EP - 
T1 - Care Management Processes Used Less Often For Depression Than For Other Chronic Conditions In US Primary Care Practices
T2 - Health affairs (Project Hope)
TI - Care Management Processes Used Less Often For Depression Than For Other Chronic Conditions In US Primary Care Practices
U1 - General Literature
U2 - 26953291
U3 - 10.1377/hlthaff.2015.1068
VL - 35
VO - 1544-5208; 0278-2715
Y1 - 2016
ER -