Quality Measures Database

Keywords

Domains

Process
	Acceptability
	Accessibility
	Appropriateness
	Competence
	Continuity
	Effectiveness
	Efficiency
	Safety
	Comprehensiveness
	Patient-Centeredness
	Legal

Outcome
	Health Conditions
	Human Function
	Well-Being
	Deaths
	Service Outputs
	Satisfaction
	Impact on Society

Structure
	Physical Infrastructure
	Personnel Management
	Information Management
	Financial Management
	Quality and Safety

Non-Medical Determinants of Health
	Health Behaviors
	Living and Working Conditions
	Personal Resources
	Environmental Factors
	Health Literacy

Equity
	Equity

Specific Conditions
	Comorbid Conditions
	Chronic Conditions
	Acute Conditions
	Substance Abuse
	Anxiety Disorders
	Somatoform Disorders
	Sleep Disorders
	Eating Disorders
	Personality Disorders
	Mood Disorders
	Psychosis
	Impulse Control Disorders
	Elderly
	Reproductive Mental Health Disorders

Special Groups
	Ethnic / Cultural Minorities
	People Who Live in Rural Areas
	People with a Family History of a Mental Health Condition
	Social Service Welfare Recipients
	Homeless or Itinerant
	Unemployed
	Aboriginal
	Seniors in Facilities
	Recent Refugees
	Immigrants
	Residents of Correctional Institutions
	Inner City Residents
	Speakers of English as a Second Language

Age Groups
	Elderly
	Adult
	Youth
	Children
	Children

Gender Groups
	Women
	Men
	Gender Identities Other Than Men or Women

Interventions
	Medication
	Psychotherapy
	Peer Support
	Prevention
	Other Somatic Treatments
	Early Detection
	Health Promotion
	Family Involvement
	Group Treatment
	Self-Management Support
	Rehabilitation
	Physical Health Intervention

Clinical Setting
	Shared Care
	Emergency Services
	School-based Mental Health Services
	Work-based Mental Health Services
	Outreach Services
	Solo Practitioner
	Group Family Practitioner
	Community Health Care Centre
	Walk in Clinics

Level of Evidence

	I	Consistently higher quality studies specifically focused on primary mental health care.
	II	Less rigorous studies specifically focused on primary mental health care or extrapolated from higher quality studies from secondary mental health care.
	III	Preliminary research evidence only or evidence based on consensus opinion only.
	IV	Evidence based on individual expert opinion.
	V	Validated scale: Research has been conducted to determine it has at least some properties associated with a high quality scale
	VI	Non-validated scale: Research regarding the quality of the scale has not been conducted.

Measure Ranking

From To

Detailed Results

Use checkboxes to select measures to print or display

Telephone Support by Trained PHC Staff

Overall Rank: 62

The provision of telephone support by appropriately trained members of the primary health care team - informed by clear treatment protocols - should be considered for all patients, in particular for the monitoring of anti depressant medication regimes.

Domain : Competence

Competence involves ensuring that the care provider’s knowledge and skills are appropriate to the care/service being provided. Competent providers are knowledgeable about the use of evidence based psychotherapy and about techniques to improve quality of care.
Additional Domain(s) : Continuity, Accessibility

Rationale

Telephone support (protocol and non-protocol driven) this was defined as an augmentation of a therapeutic intervention designed to improve the effectiveness of the intervention; it usually consisted of a limited number of telephone contacts that had a facilitative and monitoring function
There is some evidence suggesting that there is a clinically significant difference favouring telephone support over usual care on increasing the likelihood of patients achieving remission (as defined by the study) three or four months after the start of treatment.
There is insufficient evidence to determine if there is a clinically significant difference between telephone support and usual care on increasing the likelihood of patients achieving remission (as defined by the study) six months after the start of treatment.
There is insufficient evidence to determine if there is a clinically significant difference between telephone support and usual care on reducing the likelihood of patients experiencing a relapse.

Primary Reference

The National Institute for Clinical Excellence. (2004). Depression-Management of depression in primary and secondary care: Clinical Guideline 23. Retrieved July 13, 2006, from http://www.nice.org.uk/page.aspx?o=cg023niceguideline.

Level of Evidence

II: Less rigorous studies specifically focused on primary mental health care or extrapolated from higher quality studies from secondary mental health care.

Summarized Comments

Add Comment

Cheap, easy, provides self-management, but available? Rarely.
* This intervention would require a change to provider payment mechanisms.
* The telephone should not be the only distant modality being considered (cell phones, other mobile devices, internet, tele-health consults, in-house monitoring devices).

Variation in Results

Ratings-based Rank

Relevance	80
Actionability	31
Overall Importance	76

Stakeholder Rank

Academics	60
Clinicians	83
Consumers	60
Decision Makers	35

�

Special Group Rank

First Nations	73
Rural Areas	68
Federal Stakeholders	49

Regional Rank

BC	AB	SK	MB	ON	QC	NB	NS	PE	NL	YT	NT	NU
49	76	56	86	62	52	25	103	31	52	145	43	105

Overall Rank

SW03h (B390)

Distribution of Survey Respondent Ratings

Relevance

100
90
80
70
60
50
40
30
20
10
0

Low

High

Actionability

100
90
80
70
60
50
40
30
20
10
0

Low

High

Overall Importance

100
90
80
70
60
50
40
30
20
10
0

3 = can live without
2 = nice to have
1 = indispensable

Use checkboxes to select measures to print or display

The views expressed herein do not necessarily represent the official policies of Health Canada