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Quality improvement
Feedback to physicians plus telephone care management improved outcomes in primary care patients with depression

https://doi.org/10.1136/ebm.5.5.157

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    (2000) BMJ 320, 550. Simon GE, VonKorff M, Rutter C, Wagner E.. Randomised trial of monitoring, feedback, and management of care by telephone to improve treatment of depression in primary care.. Feb 26;. :. –4.
    OpenUrlAbstract/FREE Full Text

    
 
 QUESTION: Does feedback to physicians or feedback plus telephone care by case managers improve outcomes in patients treated for depression?

    Design

    Randomised {allocation concealed*}†, blinded (outcome assessors),* controlled trial with follow up at 3 and 6 months.

    Setting

    5 primary care clinics in Washington State, United States.

    Patients

    Of 872 eligible patients, 613 (mean age 47 y, 72% women) who had received new prescriptions for antidepressants participated. Exclusion criteria were non-depression indication for antidepressants, bipolar or psychotic disorder in the previous 2 years, alcohol or substance abuse, or a visit to a psychiatrist in the previous 90 days. Follow up was 97% at 3 months and 94% at 6 months.

    Intervention

    221 patients were allocated to feedback only (a detailed report that included data on antidepressant dosage, repeat prescriptions, number of follow up visits, and limited treatment recommendations based on a computerised algorithm). …

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    Footnotes

    • Source of funding: National Institute of Mental Health.

    • For correspondence: Dr G E Simon, Center for Health Studies, Group Health Cooperative, Seattle, WA 98101, USA. Fax +1 206 287 2871.

    • ↵* See glossary.

    • ↵† Information provided by author.