Background Anumberof enhance- ment strategies have beenproposed to improve the quality and outcome of care fordepression inprimarycare settings. Decision-makersarelikely toneedtoknow

Publication Summary

Results Weidentified11full economic evaluations (4757 patients).Anearuniformfindingwas thatthe interventions basedupon collaborative care/case managementresulted in improved outcomesbutwere also associatedwith greater costs.When consideringprimary care depressiontreatmentcosts alone, ICERestimates ranged from »7 ($13, no confidence intervalgiven) to »13 ($24,95% CI7105 to148) per additional depressionfree day.Educational interventions alone were associatedwith increased cost and no clinical benefit.