Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Understanding team-based quality improvement for depression in primary care.

Lisa V Rubenstein1, Louise E Parker, Lisa S Meredith

  • 1RAND Health Program, Santa Monica, CA 90401-3297, USA.

Health Services Research
|September 19, 2002
PubMed
Summary

Central Teams (CTs) designing quality improvement (QI) programs for depression care were more effective than Local Teams (LTs) in less supportive primary care environments. Success depended on expert leadership and local support.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Neighborhood Poverty and End-of-Life Care Among Adolescents and Young Adults With Cancer.

Journal of the National Comprehensive Cancer Network : JNCCN·2026
Same author

Informed Decision Making for Prostate Cancer Screening - A Prospective, Randomized Study of Two Novel Web-based, Electronic Visits.

The Journal of urology·2026
Same author

A latent class analysis of clinical complexity: Secondary analysis of the collaboration leading to addiction treatment and recovery from other stresses (CLARO) randomized trial.

Addiction (Abingdon, England)·2026
Same author

Clinical Health Messaging for Perinatal Cannabis Use: Perspectives From Postpartum Individuals With Use During Early Pregnancy.

Substance use & addiction journal·2026
Same author

Bereaved Caregiver Perspectives on Quality of Care at the End of Life Among Adolescents and Young Adults with Cancer.

Journal of palliative medicine·2026
Same author

Oncologist Perspectives on Timely Hospice Referral: A Qualitative Study.

The American journal of hospice & palliative care·2026

Area of Science:

  • Healthcare Management
  • Quality Improvement Science
  • Primary Care Research

Background:

  • Depression care in primary care (PC) settings requires effective quality improvement (QI) programs.
  • The success of these programs depends on the characteristics of QI teams and their environments.
  • Understanding these factors is crucial for designing sustainable and high-quality interventions.

Purpose of the Study:

  • To evaluate how QI team characteristics and environments impact the success of designing and implementing depression care improvement programs in PC practices.
  • To compare the effectiveness of Central Teams (CTs) with expert-led design versus Local Teams (LTs) with participatory clinician design.

Main Methods:

  • A comparative formative evaluation of five QI teams sponsored by two managed care organizations.

Related Experiment Videos

  • Data collected through observer notes, expert ratings, administrative data, and interviews.
  • Assessed the quality and duration of depression improvement programs developed by CTs and LTs, considering team and environmental factors.

    • Main Results:

    • CT-designed programs were more evidence-based than LT programs.
    • Successful program development was strongly influenced by expert team leadership, local practice management support, and local mental health specialist support.
    • CTs and LTs had similar success rates when conditions were favorable, but CTs outperformed LTs in less supportive environments.

    Conclusions:

    • The Local Team (LT) approach to QI for depression necessitates substantial local support and expertise from PC and mental health clinicians.
    • The Central Team (CT) approach demonstrates a higher likelihood of success, particularly when local practice conditions are suboptimal.