Improving treatment of depression in primary health care: a case study of obstacles to perform a clinical trial designed to implement practice guidelines.

ABSTRACT:

Aim

The aim of this study is to investigate factors contributing to the failure of a randomized clinical trial designed to implement and test clinical practice guidelines for the treatment of depression in primary health care (PHC).

Background

Although the occurrence of depression is increasing globally, many patients with depression do not receive optimal treatment. Clinical practice guidelines for the treatment of depression, which aim to establish evidence-based clinical practice in health care, are often underused and in need of operationalization in and adaptation to clinical praxis. This study explores a failed clinical trial designed to implement and test treatment of depression in PHC in Sweden.

Method

Qualitative case study methodology was used. Semi-structur

SUBMITTER: Richter-Sundberg L 

PROVIDER: S-EPMC4353206 | biostudies-literature | 2015 Apr

REPOSITORIES: biostudies-literature