Depression is a Chronic Illness, and primary care doctors still have a
long way to go to properly manage it.  Even for those of us with high
interest in the social aspect of it, treatment is fragmented by lack of
psychological evaluation, limited resources, and lack of access (US-poor
populations).
Not to think of depression as an illness is a disservice to the
patient.

The IHI website is the best effort at using chronic care models for
diabetes mainly.
worth looking.


ANA


Ana Natale-Pereira, MD, MPH
Assistant Professor of Medicine
Division of Academic Medicine, Geriatrics, and Community Programs
Medical Director 
Focus Community Health Center
449 Broad Street
Newark, New Jersey 07102
973-972-0980
973-972-0984 Fax

[log in to unmask]




>>> [log in to unmask] 6/9/2005 8:31:39 PM >>>
Hi,

Here's something from the BCMA. 
http://www.bcma.org/public/bc_medical_journal/BCMJ/2002/october_2002/MgmtDepression.asp#Abstract

Chronic Disease Management change in BC is considering depression as an
area 
for systemic change (not only heart disease, diabetes, etc).

gary

Withinsight Services
3140 The Middle Road
Nelson, BC, CANADA
V1L 6M3

250 825-9493 (business)
250 825-9497 (residence)
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----- Original Message ----- 
From: "Jennifer Boyko" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, June 09, 2005 1:11 PM
Subject: [SDOH] primary health care models


>I am wondering if anyone knows of any examples of primary medical care

>settings that have applied a chronic disease management model (for
lack of 
>a better term) to address a particular health issue (e.g. depression,

>diabetes).  Within the setting, which might be a community health
centre or 
>family medical practice, this would mean having an information system
in 
>place e.g. electronic medical record, evidence based practice, 
>reo-orientation of services, self-care supports, as well as efforts to

>improve community health through involvement in policies that create 
>supportive envioronments, address determinants of health and enable 
>community devleopment.
>
> I would be particularly interested in Canadian examples, although I 
> welcome input from all.  I would also welcome any discussion or
debate 
> about the role of primary care services in addressing determinants of

> health.
>
> Jennifer Boyko, MHSc
> Project Manager
> Ontario Centre for Collaborative Primary Health Care
> 40 Forest Ave., Hamilton, L8N1X1
> tel. 905-522-1155 ext.5953
> fax. 905-521-6107
> [log in to unmask] 
>
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