Embedding effective depression care: using theory for primary care organisational and systems change
Jane M Gunn, Victoria J Palmer, Christopher F Dowrick, Helen E Herrman, Frances E Griffiths, Renata Kokanovic, Grant A Blashki, Kelsey L Hegarty, Caroline L Johnson, Maria Potiriadis, Carl R May
IMPLEMENTATION SCIENCE | BMC | Published : 2010
BACKGROUND: Depression and related disorders represent a significant part of general practitioners (GPs) daily work. Implementing the evidence about what works for depression care into routine practice presents a challenge for researchers and service designers. The emerging consensus is that the transfer of efficacious interventions into routine practice is strongly linked to how well the interventions are based upon theory and take into account the contextual factors of the setting into which they are to be transferred. We set out to develop a conceptual framework to guide change and the implementation of best practice depression care in the primary care setting. METHODS: We used a mixed me..View full abstract
Awarded by National Institute for Health Research
The re-order project (2005-2008) was funded by the Australian Primary Health Care Research Institute (APHCRI), which is supported by a grant from the Australian Government Department of Health and Ageing (DoHA). The information and opinions contained in this paper do not necessarily reflect the views or policy of the APHCRI or DoHA. The study team acknowledges the generosity of the primary care organisations (general practices and community health centres) that participated in this project by allowing intensive research data collection to occur during busy practice times. Ben Killingsworth (BK) collected and compiled observational notes on the practices. The study team also acknowledges the input of Dr John Furler in the researcher workshop to identify a suitable theory for analysis and the online web activity for testing out the applicability of NPT.