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January/February 2012 Annals of Family Medicine
Date:1/9/2012

f Texas Southwestern Medical Center, Dallas

Editorial: Simplifying Care for Patients with Depression Plus Other Comorbid Conditions

An accompanying editorial by Elizabeth Bayliss, MD, MSPH, Annals' associate editor and director of scientific development at the Kaiser Permanente Institute for Health Research, brings the aforementioned articles on multimorbidity into sharper focus. She calls for the implementation of effective, integrated, multidimensional care management for patients with complex care needs, specifically patients with depression plus other chronic medical conditions. And, she holds out hope that the increased attention being paid to patient-centered care may lead to a shift in reimbursement structures that will encourage implementation of the kind of comprehensive management strategies needed to improve care and quality of life for the growing number of people with chronic conditions.

Simplifying Care for Complex Patients

Elizabeth Bayliss, MD, MPH

Kaiser Permanente, Institute for Health Research

A Natural Experiment on Benzodiazepine Use in Primary Care Has Significant Impact

Assessing the impact of a recent Dutch reimbursement restriction on the use of benzodiazepines in primary care intended to reduce costs and limit misuse, researchers find the policy change led to a moderate decrease in the number of new diagnoses of anxiety and sleeping disorder and a reduction in benzodiazepine prescriptions among patients with newly diagnosed disorders. Analyzing data on 13,596 patients with an incident diagnosis of anxiety or sleeping disorder, researchers found a significantly lower incidence of sleeping disorder diagnoses (3,254 in 2008 vs. 2,863 in 2009) and anxiety diagnoses (3,769 in 2008 vs. 3,710 in 2009) after the restriction went into effect. Moreover, the proportion of patients being prescribed a benzodiazepine after a diagnosis was lower in 2009 than in 2008 for both anxiety (30 percent vs. 34
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Contact: Angela Sharma
asharma@aafp.org
913-269-2269
American Academy of Family Physicians
Source:Eurekalert

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