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Diverse voices, simple desires : a conceptual design for primary care to respond to depression and related disorders
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Palmer, Victoria, Gunn, Jane, Kokanovic, Renata, Griffiths, Frances, Shrimpton, Bradley, Hurworth, Rosalind, Herrman, Helen, Johnson, C., Hegarty, Kelsey, Blashki, Grant, Butler, Ella, Johnston-Ata'ata, Kate and Dowrick, Christopher (2010) Diverse voices, simple desires : a conceptual design for primary care to respond to depression and related disorders. Family Practice, Vol.27 (No.4). pp. 447-458. doi:10.1093/fampra/cmq016 ISSN 0263-2136.
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Official URL: http://dx.doi.org/10.1093/fampra/cmq016
Abstract
Objectives. The reorder study aimed to gather diverse patient and community perspectives to inform the development of an effective system of depression care.
Method. Five hundred and seventy-six patients completed computer-assisted telephone interviews. Two hundred and seventy-six community stakeholders completed a modified two round Delphi. Responses were analysed to identify tasks and these were synthesised into a conceptual design.
Results. Fifteen core tasks were identified, 5 were agreed upon and a further 10 identified by each group but not agreed upon. Listen, understand and empathize, provide thorough and competent diagnosis and management, follow-up and monitor patients, be accessible and do not rush appointments and provide holistic approach and tailor care to individual needs were agreed on. Other tasks included: develop plans with patients, assess for severity and suicide risk, account for social factors, be well trained in depression care and offer a range of treatment options, appropriate and timely referral, support and reassurance, educate patients about depression, prescribe appropriately and manage medication and be positive and encouraging.
Conclusions. The tasks form the basis of a conceptual design for developing a primary care response to depression. They fit within three domains of care: the relational, competency and systems domains. This illustrates tasks for GPs beyond prescription and referral.
| Item Type: | Journal Article | ||||
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| Subjects: | R Medicine R Medicine > RA Public aspects of medicine |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH) |
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| Library of Congress Subject Headings (LCSH): | Depression, Mental -- Treatment, Physician and patient , Health services administration, Mental health, Qualitative research, Primary care (Medicine) | ||||
| Journal or Publication Title: | Family Practice | ||||
| Publisher: | Oxford University Press | ||||
| ISSN: | 0263-2136 | ||||
| Official Date: | August 2010 | ||||
| Dates: |
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| Volume: | Vol.27 | ||||
| Number: | No.4 | ||||
| Number of Pages: | 12 | ||||
| Page Range: | pp. 447-458 | ||||
| DOI: | 10.1093/fampra/cmq016 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access | ||||
| Funder: | Australian Government Department of Health and Ageing, National Health and Medical Research Council (Australia) (NHMRC) | ||||
| Grant number: | 299869 (NHMRC), 454463 (NHMRC), 566511 (NHMRC) |
Data sourced from Thomson Reuters' Web of Knowledge
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