Gallimore Casey, Kushner Kenneth
University of Wisconsin-Madison School of Pharmacy, Madison, Wis., USA.
WMJ. 2013 Jun;112(3):124-8.
Local guidelines recommend that patients treated for depression receive 3 follow-ups within 12 weeks of antidepressant initiation; however, this is often not achieved in practice.
A monitoring protocol was implemented as a quality improvement project at Wingra Access Medical Center in which patients treated for anxiety or depression received a follow-up phone call 1 to 2 weeks after starting an antidepressant.
A retrospective chart review demonstrated the percentage of patients achieving 3 follow-ups within 12 weeks significantly increased from 7% to 24% following implementation.
Results suggest the protocol is a feasible method to improve antidepressant followup in primary care. Confounding factors including cohort dissimilarities and introduction of a behavioral health service should be considered.
当地指南建议，接受抑郁症治疗的患者在开始使用抗抑郁药后的12周内接受3次随访；然而，在实际中这一目标常常无法实现。
作为一项质量改进项目，在温格拉医疗中心实施了一项监测方案，其中接受焦虑或抑郁症治疗的患者在开始使用抗抑郁药1至2周后会接到随访电话。
一项回顾性病历审查表明，实施该方案后，在12周内完成3次随访的患者比例从7%显著增至24%。
结果表明该方案是改善初级保健中抗抑郁药随访情况的一种可行方法。应考虑包括队列差异和引入行为健康服务在内的混杂因素。
