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Performance improvement program helps doctors better manage depression, reports journal of psychiatric practice
Date:7/18/2014

their patients for depression increased from 26 percent at the first chart review to 68 percent at the follow-up review. The percentage performing recommended follow-up screening also increased: from 48 to 75 percent.

The PI CME initiative was also associated with increased use of standardized measures to assess adherence to antidepressant treatment: from ten to 45 percent. Many patients stop taking prescribed antidepressants within the first few months, and use of standardized measures allow for more reliable assessments that may promote increased adherence to treatment.

PI CME Approach Helps Doctors Incorporate Evidence into Practice

Depression is a common and potentially disabling condition that can be difficult to treat. One in three US adults will experience a major depressive episode during their lifetime, yet a quarter of patients are undiagnosed, and fewer than half of those who are diagnosed receive treatment.

There are research-proven practices to improve management of depression, but some clinicians have been slow to adopt these recommendations. The PI CME approach seeks to help doctors incorporate new evidence into routine care through practice-based learning.

The new study supports this approach, showing substantial improvements in adherence to guideline-based practice by physicians who complete all three steps of the PI CME initiative. The results highlight the significant gap between how doctors perceive their performance and their "real world performance," as reflected in patient charts.

"Improvements in patient care through the use of clinician self-assessment, goal setting, and reassessment suggest clinicians achieved greater awareness and knowledge of evidence-based measures," Dr Thase and coauthors conclude. They suggest further studies to understand why a high percentage of physicians started but did not complete the PI CME program; previous studies suggest that the initial self-
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Contact: Connie Hughes
Connie.Hughes@wolterskluwer.com
646-674-6348
Wolters Kluwer Health
Source:Eurekalert

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