Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Treatment delivery and guidelines in primary care
Autore:
Peveler, R; Kendrick, T;
Indirizzi:
Univ Southampton, Community Clin Sci Div, Southampton, Hants, England UnivSouthampton Southampton Hants England , Southampton, Hants, England
Titolo Testata:
BRITISH MEDICAL BULLETIN
, volume: 57, anno: 2001,
pagine: 193 - 206
SICI:
0007-1420(2001)57:<193:TDAGIP>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
SEROTONIN REUPTAKE INHIBITORS; RANDOMIZED CONTROLLED TRIAL; ASSOCIATION-FOR-PSYCHOPHARMACOLOGY; HAMPSHIRE DEPRESSION PROJECT; CLINICAL-PRACTICE GUIDELINES; PRACTICE-BASED EDUCATION; GENERAL-PRACTICE; TRICYCLIC ANTIDEPRESSANTS; COST-EFFECTIVENESS; COLLABORATIVE MANAGEMENT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
61
Recensione:
Indirizzi per estratti:
Indirizzo: Peveler, R Univ Southampton, Dept Psychiat, Royal S Hants Hosp, Brintons Terrace, Southampton SO14 0YG, Hants, England Univ Southampton Brintons Terrace Southampton Hants England SO14 0YG
Citazione:
R. Peveler e T. Kendrick, "Treatment delivery and guidelines in primary care", BR MED B, 57, 2001, pp. 193-206

Abstract

Because depressive illness is so prevalent, the majority of patients are managed in primary care, without recourse to specialist services. Primary care management is seen to fall short of the standards set in secondary care,but unfortunately there is as yet relatively little evidence from primary care to guide management in this distinctive patient population. Guidelineshave been introduced as a means of quality management, and their value in improving care has been assessed in trials. To date, the benefits of the implementation of guidelines have been marginal at best. By contrast, strategies which improve the access of patients to specialist services do seem to be beneficial. There is also evidence that such strategies may be associated with 'cost-offset'. Choice of antidepressant medication for maximum cost benefit should also be informed by an evidence base, which is beginning to be accumulated. Further research on this topic in the primary care context is still needed.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/04/20 alle ore 23:26:44