Steps for Implementing Collaborative Care Programs for Depression
Steps for Implementing Collaborative Care Programs for Depression
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DOI：
10.1089/pop.2008.0023
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发表时间：
2009-04-01
影响因子：
2.5
通讯作者：
McDougall, Skye
中科院分区：
文献类型：
--
作者：
Fortney, John C.;Pyne, Jeffrey M.;McDougall, Skye
许多研究表明，协作治疗（护理管理）可以改善抑郁症的治疗效果，但很少有诊所实施这种基于证据的实践。为了促进这一最佳实践的采用，我们的目标是描述根据当地需求、资源和优先事项定制协作护理模式所需的步骤，同时保持对证据基础的忠诚。基于在两种不同的临床、组织和地理环境中进行的两项多地点退伍军人事务实施研究的经验教训，我们详细描述了在保持对研究证据高度忠实的情况下，根据当地情况调整循证合作治疗抑郁症计划所需的步骤。这些步骤代表了决定和行动项目的详细清单，可以用作计划实施抑郁症合作护理模式的工具。我们还确定了支持实施工作的其他工具（如决策支持系统、自杀风险评估）和资源（如培训材料）。这些实施工具应该帮助临床医生和管理人员制定明智的策略，以推出抑郁症的合作护理模式。（人口健康管理2009；12:69-79）
Numerous studies have demonstrated that collaborative care ( care management) for depression improves outcomes, yet few clinics have implemented this evidence-based practice. To promote adoption of this best practice, our objective was to describe the steps needed to tailor collaborative care models for local needs, resources, and priorities while maintaining fidelity to the evidence base. Based on lessons learned from 2 multisite Veterans Affairs implementation studies conducted in 2 different clinical, organizational, and geographic contexts, we describe in detail the steps needed to adapt an evidence-based collaborative care program for depression for local context while maintaining highly fidelity to the research evidence. These steps represent a detailed checklist of decisions and action items that can be used as a tool to plan the implementation of a collaborative care model for depression. We also identify other tools (eg, decision support systems, suicide risk assessment) and resources ( eg, training materials) that will support implementation efforts. These implementation tools should help clinicians and administrators develop informed strategies for rolling out collaborative care models for depression. ( Population Health Management 2009;12:69-79)