“…19 A systematic review of primary care in the United Kingdom found no evidence that assessing depression severity using a structured tool and subsequent treatment based on that assessment resulted in better outcomes. 33 Organizations promoting depression screening, such as Medicare, should consider integrating incentives for screening and high-leverage activities 34 (e.g., care coordination, team-based care). For older adults, especially those with multimorbidity, choosing measures that may meet their preferences may be a better goal than widespread screening, 35 especially if, as found in the current study, a large proportion of repeated screening is being conducted in individuals who are not reporting symptoms of depression.…”