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190504 r ||| eng |
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|a 9789185413515
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245 |
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|a Implementation of psychiatric guidelines and evidence-based knowledge in the primary care sector
|h Elektronische Ressource
|b a systematic review : summary and conclusions
|c Swedish Council on Health Technology Assessment
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260 |
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|a Stockholm, Sweden
|b Swedish Council on Health Technology Assessment
|c June 2012, 2012
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300 |
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|a 1 PDF file (22 pages)) +
|e 1 supplement (64 pages)
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653 |
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|a Primary Health Care / standards
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653 |
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|a Medical Staff / education
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653 |
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|a Mental Health Services / standards
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653 |
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|a Quality of Health Care / standards
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653 |
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|a Psychiatry / education
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710 |
2 |
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|a Statens beredning för medicinsk utvärdering (Sweden)
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740 |
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2 |
|a Implementeringsstöd för psykiatrisk evidens i primärvården
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041 |
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7 |
|a eng
|2 ISO 639-2
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989 |
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|b NCBI
|a National Center for Biotechnology Information
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490 |
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|a SBU report
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500 |
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|a "English translation of the summary: Ron Gustafson"--Page 3. - "Summary and conclusions of the SBU report"--Page 3
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856 |
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|u https://www.ncbi.nlm.nih.gov/books/NBK285445
|3 Volltext
|n NLM Bookshelf Books
|3 Volltext
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082 |
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|a 370
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082 |
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|a 610
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520 |
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|a An effective implementation strategy involves strengthening the primary care organisation with specially trained professionals, e.g. nurses (referred to as care managers in the studies) responsible for support and continual contact with patients suffering from depression; and combining this with other interventions, e.g. education of care teams and feedback of patient data to physicians. Physicians write more appropriate prescriptions for antidepressants, and patients' symptoms decrease. The effects last for at least 6 months after the completed intervention. We could not determine if the effects last longer since too few studies include repeated measurements. The interventions are cost-effective. The effects of implementation depend on the context and nature of the change process. Hence, studies and systematic reviews should be complemented with methodology that illuminates contextual factors and the implementation process
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