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Ferenchick EK, Randenikumara S, Dowrick C, Lionis C, Lam CLK, Green LA, Jortberg B. Bold action and collaboration for health for all. Lancet 2024; 403:1448. [PMID: 38614483 DOI: 10.1016/s0140-6736(24)00498-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Accepted: 03/07/2024] [Indexed: 04/15/2024]
Affiliation(s)
- Erin K Ferenchick
- Center for Family and Community Medicine, Columbia University Irving Medical Center, New York, NY 10032, USA.
| | | | - Christopher Dowrick
- Department of Primary Care and Mental Health, University of Liverpool, Liverpool, UK
| | - Christos Lionis
- Department of Social Medicine, School of Medicine, University of Crete, Giofirakia, Greece
| | - Cindy L K Lam
- The University of Hong Kong, Hong Kong Special Administrative Region, China
| | - Larry A Green
- University of Colorado Anschutz Medical Campus School of Medicine, Aurora, CO, USA
| | - Bonnie Jortberg
- University of Colorado Anschutz Medical Campus School of Medicine, Aurora, CO, USA
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Abstract
Depression is a common and heterogeneous condition with a chronic and recurrent natural course that is frequently seen in the primary care setting. Primary care providers play a central role in managing depression and concurrent physical comorbidities, and they face challenges in diagnosing and treating the condition. In this two part series, we review the evidence available to help to guide primary care providers and practices to recognize and manage depression. The first review outlined an approach to screening and diagnosing depression in primary care. This second review presents an evidence based approach to the treatment of depression in primary care, detailing the recommended lifestyle, drug, and psychological interventions at the individual level. It also highlights strategies that are being adopted at an organizational level to manage depression more effectively in primary care.
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Affiliation(s)
- Parashar Ramanuj
- Center for Family and Community Medicine, Columbia University Medical Center, New York, NY, USA
- Royal National Orthopaedic Hospital
| | | | - Harold Alan Pincus
- Department of Psychiatry, Columbia University, New York State Psychiatric Institute, New York, NY, USA
- Irving Institute for Clinical and Translational Research, Columbia University, New York, NY, USA
- RAND Corporation, Pittsburgh, PA, USA
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Abstract
Depression is a common and heterogeneous condition with a chronic and recurrent natural course that is frequently seen in the primary care setting. Primary care providers play a central role in managing depression and concurrent physical comorbidities, and they face challenges in diagnosing and treating the condition. In this two part series, we review the evidence available to help to guide primary care providers and practices to recognize and manage depression. In this first of two reviews, we outline an approach to screening and diagnosing depression in primary care that evaluates current evidence based guidelines and applies the recommendations to clinical practice. The second review presents an evidence based approach to the treatment of depression in primary care, detailing the recommended lifestyle, drug, and psychological interventions at the individual level. It also highlights strategies that are being adopted at an organizational level to manage depression more effectively in primary care.
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Affiliation(s)
- Erin K Ferenchick
- Center for Family and Community Medicine, Columbia University Medical Center, New York, NY, USA
| | | | - Harold Alan Pincus
- Department of Psychiatry, Columbia University, New York State Psychiatric Institute, New York, NY, USA
- Irving Institute for Clinical and Translational Research, Columbia University, New York, NY, USA
- RAND Corporation, Pittsburgh, PA, USA
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Ferenchick EK, Roman E, Wolf K, Florey L, Youll S, Mangiaterra V, Agarwal K, Gutman J. A renewed focus on preventing malaria in pregnancy. Reprod Health 2018; 15:131. [PMID: 30053820 PMCID: PMC6062858 DOI: 10.1186/s12978-018-0573-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2018] [Accepted: 07/19/2018] [Indexed: 11/10/2022] Open
Abstract
While much progress has been achieved globally in the fight against malaria, the significant financial investments made to date have not translated into scaled-up malaria in pregnancy (MiP) prevention efforts. Mothers and newborns remain at risk, and now is the time to refocus efforts. Against the backdrop of a new global health architecture embodied by the principles of Every Women, Every Child and driven by the work of the H6 Partnership, Global Financing Facility, strong bilaterals and key financiers, there is a new and timely juncture to advocate for MiP. Recent updates in the WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience present an opportunity to strengthen MiP as a core maternal and child health issue and position MiP prevention as a priority.
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Affiliation(s)
- Erin K Ferenchick
- The Global Fund to Fight AIDS, Tuberculosis and Malaria, Geveva, Switzerland.
| | | | - Katherine Wolf
- Jhpiego, Maternal Child Survival Program, Baltimore, USA
| | - Lia Florey
- U.S. President's Malaria Initiative, U.S. Agency for International Development, Washington, D.C., USA
| | - Susan Youll
- U.S. President's Malaria Initiative, U.S. Agency for International Development, Washington, D.C., USA
| | - Viviana Mangiaterra
- The Global Fund to Fight AIDS, Tuberculosis and Malaria, Geveva, Switzerland
| | - Koki Agarwal
- Jhpiego, Maternal Child Survival Program, Baltimore, USA
| | - Julie Gutman
- Malaria Branch, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, USA
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Pincus HA, Li M, Scharf DM, Spaeth-Rublee B, Goldman ML, Ramanuj PP, Ferenchick EK. Prioritizing quality measure concepts at the interface of behavioral and physical healthcare. Int J Qual Health Care 2018. [PMID: 28651345 DOI: 10.1093/intqhc/mzx071] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Objective Integrated healthcare models can increase access to care, improve healthcare quality, and reduce cost for individuals with behavioral and general medical healthcare needs, yet there are few instruments for measuring the quality of integrated care. In this study, we identified and prioritized concepts that can represent the quality of integrated behavioral health and general medical care. Design We conducted a literature review to identify candidate measure concepts. Experts then participated in a modified Delphi process to prioritize the concepts for development into specific quality measures. Setting United States. Participants Expert behavioral health and general medical clinicians, decision-makers (policy, regulatory and administrative professionals) and patient advocates. Main outcome measures Panelists rated measure concepts on importance, validity and feasibility. Results The literature review identified 734 measures of behavioral or general medical care, which were then distilled into 43 measure concepts. Thirty-three measure concepts (including a segmentation strategy) reached a predetermined consensus threshold of importance, while 11 concepts did not. Two measure concepts were 'ready for further development' ('General medical screening and follow-up in behavioral health settings' and 'Mental health screening at general medical healthcare settings'). Among the 31 additional measure concepts that were rated as important, 7 were rated as valid (but not feasible), while the remaining 24 concepts were rated as neither valid nor feasible. Conclusions This study identified quality measure concepts that capture important aspects of integrated care. Researchers can use the prioritization process described in this study to guide healthcare quality measures development work.
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Affiliation(s)
- Harold Alan Pincus
- Department of Psychiatry, College of Physicians and Surgeons, Columbia University, 1051 Riverside Drive, Unit 09, New York, NY 10032, USA.,New York-Presbyterian Hospital, 630 West 168th Street, New York, NY 10032, USA
| | - Mingjie Li
- New York State Psychiatric Institute, 1051 Riverside Drive, Unit 9, New York, NY 10032, USA
| | - Deborah M Scharf
- Department of Psychology, Lakehead University, 955 Oliver Road, Thunder Bay Ontario, P7B 5E1, Canada
| | - Brigitta Spaeth-Rublee
- New York State Psychiatric Institute, 1051 Riverside Drive, Unit 9, New York, NY 10032, USA
| | - Matthew L Goldman
- New York State Psychiatric Institute, 1051 Riverside Drive, Unit 9, New York, NY 10032, USA.,Department of Psychiatry, Columbia University Medical Center, New York State Psychiatric Institute, 1051 Riverside Drive, Box 99, New York, NY 10032, USA
| | - Parashar P Ramanuj
- Royal National Orthopaedic Hospital, 45 Bolsover Street, London, W1W 5AQ, UK
| | - Erin K Ferenchick
- Center for Family and Community Medicine, Columbia University Medical Center, 610 West 158th Street, New York, NY 10032, USA
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Affiliation(s)
- Erin K Ferenchick
- The Global Fund to Fight AIDS, Tuberculosis and Malaria, Geneva, Switzerland
| | | | | | - Olga Bornemisza
- The Global Fund to Fight AIDS, Tuberculosis and Malaria, Geneva, Switzerland
| | | | - Viviana Mangiaterra
- The Global Fund to Fight AIDS, Tuberculosis and Malaria, Geneva, Switzerland
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