, Volume 25, Issue 7, pp 640-641
Date: 23 Apr 2010

Moving Medical Advances from Prototype into Practice

This is an excerpt from the content

Improving health care outcomes is difficult, and we have known for many years that successful efforts are more likely to involve a blend of approaches rather than a single “silver bullet.”1 Over the past 15 years, dozens of published trials have supported use of the multipronged “collaborative care” model as an effective strategy for improving treatment outcomes for depression24 as well as for a variety of other chronic medical conditions.5 Based on the Wagner Chronic Care Model, collaborative care involves active follow-up by a non-physician allied health professional “care manager” who supports patients with the time and frequency of contacts necessary to educate them about their illness and evidence-based treatment options; involves primary care physicians as active participants in their patients’ care; and proactively monitors patients’ response to therapy and suggests adjustments in care when indicated. Yet despite the proven efficacy and cost-effectiveness of this approach, coll