Review: The net benefits of depression management in primary care

Sherry Glied, Karin Herzog, Richard Frank

Research output: Contribution to journalReview article

Abstract

Depression is often diagnosed and treated in primary care settings. Organizational and systems interventions that restructure primary care practices and train staff have been shown to be cost-effective strategies for treating depression. Funders are increasingly calling for a cost-benefit assessment of such programs. In this study, the authors review existing cost-effectiveness studies of primary care depression treatments, classify them into categories, translate the results into net benefit terms, and assess whether more costly programs generate greater net benefit. The authors find that interventions that provide training to primary care teams in how to manage depression most consistently produce net benefits, with more costly interventions of this type generating larger net benefits than less costly interventions. Collaborative care interventions, which add specialized staff to primary care practices, and therapy interventions, in which clinicians are trained to provide therapy, also generate net social benefits at conventional valuations of quality-adjusted life years.

Original languageEnglish (US)
Pages (from-to)251-274
Number of pages24
JournalMedical Care Research and Review
Volume67
Issue number3
DOIs
StatePublished - Jun 1 2010

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Keywords

  • Cost-benefit
  • Depression management
  • Primary care

ASJC Scopus subject areas

  • Health Policy

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