A three-component model for reengineering systems for the treatment of depression in primary care

Thomas E. Oxman, Allen J. Dietrich, John W. Williams, Kurt Kroenke

Research output: Contribution to journalArticle

102 Citations (Scopus)

Abstract

Depression in primary care is a chronic disease. As with most chronic diseases, long-term adherence to treatment plans is problematic. Evidence-based systems of care address this problem, but persistence and dissemination of systems after testing is a new problem. The three-component model for the care of patients with depression is a system of widely applicable, easily transported strategies and materials to address dissemination. The three-component model provides a series of routines (processes for structured diagnostic and follow-up-care with a time line) and division of responsibility, including a role for a telephone care manager. In the three-component model, clinician and office education create a prepared practice that is predisposed to providing evidence-based depression management. Enabling elements include the telephone care managers, who are trained to promote adherence to a management plan, and a supervising psychiatrist. The key reinforcing element is care manager reports about patient response to treatment. The three-component model is bound together by a common depression diagnostic and severity measure that facilitates communication and treatment decisions.

Original languageEnglish (US)
Pages (from-to)441-450
Number of pages10
JournalPsychosomatics
Volume43
Issue number6
DOIs
StatePublished - Nov 2002

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Primary Health Care
Depression
Telephone
Chronic Disease
Aftercare
Therapeutics
Psychiatry
Patient Care
Communication
Education
Primary Care
Managers
Adherence
Dissemination
Diagnostics

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Psychology(all)

Cite this

A three-component model for reengineering systems for the treatment of depression in primary care. / Oxman, Thomas E.; Dietrich, Allen J.; Williams, John W.; Kroenke, Kurt.

In: Psychosomatics, Vol. 43, No. 6, 11.2002, p. 441-450.

Research output: Contribution to journalArticle

Oxman, Thomas E. ; Dietrich, Allen J. ; Williams, John W. ; Kroenke, Kurt. / A three-component model for reengineering systems for the treatment of depression in primary care. In: Psychosomatics. 2002 ; Vol. 43, No. 6. pp. 441-450.
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