The Impact of Evidence-Based Guideline Dissemination for the Assessment and Treatment of Major Depression in a Managed Behavioral Health Care Organization

Abstract

This study tests whether a managed behavioral health care organization can influence adherence to practice guidelines for the treatment of major depression in a randomized trial of guideline dissemination. Guidelines were disseminated to mental health clinicians (N = 443) under one of three conditions: (1) a general mailing of guidelines to clinicians, (2) a mailing in which guidelines

Diretrizes clínicas e outras práticas voltadas para a melhoria da qualidade assistencial em operadoras de planos de saúde sob a perspectiva dos seus dirigentes, no Brasil

“…Sublinha-se o uso de diretrizes na atenção a doenças crônico-degenerativas, principalmente cardiovasculares e oncológicas, o que vai ao encontro da elevada carga dessas doenças no perfil de morbi-mortalidade do país 9 , bem como da experiência internacional de implementação de diretrizes clínicas 10,11,12,13,14 . O baixo uso de diretrizes na atenção aos transtornos mentais ou à demência coincide com a tendência reportada na literatura 15,16 , contrastando com a elevada carga de incapacitação provocada por essas doenças 17 .…”

The Use of Three Strategies to Improve Quality of Care at a National Level

“…A number of studies reported substantial improvement in quality both in inpatient [1,11,14,18,21,32,50,53,57,60,62,68,78] and outpatient settings [13,29,37,40,42,46]. Numerous studies, including six RCTs [4,7,38,51,63,71], failed to show any positive effects on quality associated with practice guidelines [5,10,20,25,26,36]. Results were mixed in 12 studies, in which practice guidelines improved quality for certain outcomes or patient subgroups but not others [8,23,24,41,43,52,54,55,58,59,73,74].…”

Help a Buddy Take a Knee: Creating Persuasive Messages for Military Service Members to Encourage Others to Seek Mental Health Help

“…Nonetheless, there are some innovative models of ways that behavioral health plans can influence care to improve psychotherapy, including the facilitation of goalfocused psychotherapy (Goldman, McCulloch, and Cuffel, 2003), and using trained clinical staff to provide care management at the level of the behavioral health care organization . By contrast, simply distributing guideline information to clinical providers has no demonstrable effect (Azocar et al, 2003).…”