Care pathways for people with major depressive disorder

Detalhes bibliográficos
Autor(a) principal: Strawbridge, Rebecca
Data de Publicação: 2022
Outros Autores: McCrone, Paul, Ulrichsen, Andrea, Zahn, Roland, Eberhard, Jonas, Wasserman, Danuta, Brambilla, Paolo, Schiena, Giandomenico, Hegerl, Ulrich, Balazs, Judit, Caldas De Almeida, Jose, Antunes, Ana, Baltzis, Spyridon, Carli, Vladimir, Quoidbach, Vinciane, Boyer, Patrice, Young, Allan H.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/142066
Resumo: Funding: This work was supported by the European Brain Council (EBC). This work is also supported by the National Institute for Health Research (NIHR) Maudsley Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King’s College London.
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spelling Care pathways for people with major depressive disorderA European Brain Council Value of Treatment studycare pathwaysdiagnosismajor depressive disordertreatmentPsychiatry and Mental healthSDG 3 - Good Health and Well-beingFunding: This work was supported by the European Brain Council (EBC). This work is also supported by the National Institute for Health Research (NIHR) Maudsley Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King’s College London.Background: Despite well-established guidelines for managing major depressive disorder (MDD), its extensive disability burden persists. This Value of Treatment mission from the European Brain Council aimed to elucidate the nature and extent of 'gaps' between best-practice and current32 practice care, specifically to: 1. Identify current treatment gaps along the care pathway and determine the extent of these gaps in comparison with the stepped-care model. 2. Recommend policies intending to better meet patient needs (i.e., minimise treatment gaps). Methods: After agreement upon a set of relevant treatment gaps, data pertaining to each gap were gathered and synthesised from several sources across six European countries. Subsequently a modified-Delphi approach was undertaken to attain consensus amongst an expert panel on proposed recommendations for minimising treatment gaps. Results: 4 recommendations were made to increase the depression diagnosis 40 rate (from ~50% episodes), aiming to both increase the number of patients seeking help, and the likelihood of a practitioner to correctly detect depression. These should reduce time to treatment (from ~1-8 years after illness onset) and increase rates of treatment; 9 further recommendations aimed to increase rates of treatment (from ~25-50% of patients currently treated), mainly focused on targeting the best treatment to each patient. To improve follow-up after treatment initiation (from ~30-65% followed up within 3 months), 7 recommendations focused on increasing continuity of care. For those not responding, 10 recommendations focused on ensuring access to more specialist care (currently at rates of ~5-25% of patients). Conclusions: The treatment gaps in depression care are substantial and concerning, from the proportion of people not entering care pathways to those stagnating in primary care with impairing and persistent illness. A wide range of recommendations can be made to enhance care throughout the pathway.Centro de Estudos de Doenças Crónicas (CEDOC)NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNStrawbridge, RebeccaMcCrone, PaulUlrichsen, AndreaZahn, RolandEberhard, JonasWasserman, DanutaBrambilla, PaoloSchiena, GiandomenicoHegerl, UlrichBalazs, JuditCaldas De Almeida, JoseAntunes, AnaBaltzis, SpyridonCarli, VladimirQuoidbach, VincianeBoyer, PatriceYoung, Allan H.2022-07-18T22:26:57Z2022-06-152022-06-15T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/142066eng0924-9338PURE: 45304460https://doi.org/10.1192/j.eurpsy.2022.28info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:19:22Zoai:run.unl.pt:10362/142066Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:50:06.997849Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Care pathways for people with major depressive disorder
A European Brain Council Value of Treatment study
title Care pathways for people with major depressive disorder
spellingShingle Care pathways for people with major depressive disorder
Strawbridge, Rebecca
care pathways
diagnosis
major depressive disorder
treatment
Psychiatry and Mental health
SDG 3 - Good Health and Well-being
title_short Care pathways for people with major depressive disorder
title_full Care pathways for people with major depressive disorder
title_fullStr Care pathways for people with major depressive disorder
title_full_unstemmed Care pathways for people with major depressive disorder
title_sort Care pathways for people with major depressive disorder
author Strawbridge, Rebecca
author_facet Strawbridge, Rebecca
McCrone, Paul
Ulrichsen, Andrea
Zahn, Roland
Eberhard, Jonas
Wasserman, Danuta
Brambilla, Paolo
Schiena, Giandomenico
Hegerl, Ulrich
Balazs, Judit
Caldas De Almeida, Jose
Antunes, Ana
Baltzis, Spyridon
Carli, Vladimir
Quoidbach, Vinciane
Boyer, Patrice
Young, Allan H.
author_role author
author2 McCrone, Paul
Ulrichsen, Andrea
Zahn, Roland
Eberhard, Jonas
Wasserman, Danuta
Brambilla, Paolo
Schiena, Giandomenico
Hegerl, Ulrich
Balazs, Judit
Caldas De Almeida, Jose
Antunes, Ana
Baltzis, Spyridon
Carli, Vladimir
Quoidbach, Vinciane
Boyer, Patrice
Young, Allan H.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Centro de Estudos de Doenças Crónicas (CEDOC)
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
RUN
dc.contributor.author.fl_str_mv Strawbridge, Rebecca
McCrone, Paul
Ulrichsen, Andrea
Zahn, Roland
Eberhard, Jonas
Wasserman, Danuta
Brambilla, Paolo
Schiena, Giandomenico
Hegerl, Ulrich
Balazs, Judit
Caldas De Almeida, Jose
Antunes, Ana
Baltzis, Spyridon
Carli, Vladimir
Quoidbach, Vinciane
Boyer, Patrice
Young, Allan H.
dc.subject.por.fl_str_mv care pathways
diagnosis
major depressive disorder
treatment
Psychiatry and Mental health
SDG 3 - Good Health and Well-being
topic care pathways
diagnosis
major depressive disorder
treatment
Psychiatry and Mental health
SDG 3 - Good Health and Well-being
description Funding: This work was supported by the European Brain Council (EBC). This work is also supported by the National Institute for Health Research (NIHR) Maudsley Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King’s College London.
publishDate 2022
dc.date.none.fl_str_mv 2022-07-18T22:26:57Z
2022-06-15
2022-06-15T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/142066
url http://hdl.handle.net/10362/142066
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 0924-9338
PURE: 45304460
https://doi.org/10.1192/j.eurpsy.2022.28
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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