Electronic clinical decision support for management of depression in primary care: A prospective cohort study

James M. Gill, Ying Xia Chen, Angela Grimes, James J. Diamond, Michael Lieberman, Michael S. Klinkman

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objective: To assess the utility of an electronic clinical decision support tool for management of depression in primary care. Method: This prospective study was conducted in a national network of ambulatory practices over a 1-year period (October 2007-October 2008). A clinical decision support tool was embedded into the electronic health record of 19 primary care practices with 119 providers. The main components included (1) the 9-item Patient Health Questionnaire (PHQ-9), with 9 questions paralleling the 9 DSM-IV criteria for the diagnosis of major depressive disorder; (2) a suicide assessment form; and (3) brief patient and provider education. Use of each component was tracked in the electronic health record. Providers completed baseline and postintervention surveys regarding their depression management practices and their perceptions of the clinical decision support tool. Results: According to electronic health record tracking, the PHQ-9 form was used in 45.6% of the 16,052 adult patients with depression and in 73.7% of the 1,422 patients with new depression. The suicide assessment form was used in 62.0% of patients with possible suicidality. Education modules were rarely used. From before to after the study, providers reported increased use of standardized tools for depression diagnosis (47% to 80%, P

Original languageEnglish (US)
JournalPrimary Care Companion to the Journal of Clinical Psychiatry
Volume14
Issue number1
DOIs
StatePublished - 2012

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Clinical Decision Support Systems
Primary Health Care
Cohort Studies
Prospective Studies
Depression
Electronic Health Records
Suicide
Practice Management
Major Depressive Disorder
Patient Education
Diagnostic and Statistical Manual of Mental Disorders
Education
Health

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Electronic clinical decision support for management of depression in primary care : A prospective cohort study. / Gill, James M.; Chen, Ying Xia; Grimes, Angela; Diamond, James J.; Lieberman, Michael; Klinkman, Michael S.

In: Primary Care Companion to the Journal of Clinical Psychiatry, Vol. 14, No. 1, 2012.

Research output: Contribution to journalArticle

Gill, James M. ; Chen, Ying Xia ; Grimes, Angela ; Diamond, James J. ; Lieberman, Michael ; Klinkman, Michael S. / Electronic clinical decision support for management of depression in primary care : A prospective cohort study. In: Primary Care Companion to the Journal of Clinical Psychiatry. 2012 ; Vol. 14, No. 1.
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