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Web-based therapy may help interns with suicidal ideation

Resident physicians are at high risk for depression, and training can make the situation much worse. In an effort to prevent suicidal ideation among interns, researchers tested a Web-based cognitive behavioral therapy (CBT) intervention.
https://immattersacp.org/archives/2016/03/success.htm
1 Mar 2016

Two-step screening appears effective for anxiety, depression in hospitalized cardiac patients

A two-step screening process appears to be effective for detecting generalized anxiety disorder and depression in hospitalized patients with cardiac disease, according to a new study.
https://immattersacp.org/weekly/archives/2013/06/18/5.htm
18 Jun 2013

Guidelines call for depression screening

Guidelines call for internists to screen for depression, but only if they can offer support once they make a diagnosis. Internists who've already achieved this describe how they did so, and how it's benefited their patients.
https://immattersacp.org/archives/2010/03/depression.htm
1 Mar 2010

Defining value and creating quality in the patient encounter

Critical questions will arise about defining and measuring value in the patient encounter when the Medicare Access and CHIP Reauthorization Act goes into action.
https://immattersacp.org/archives/2016/04/washington.htm
1 Apr 2016

Upper endoscopy may be overused in patients with reflux, guidelines committee says

Routine use of upper endoscopy for most patients with gastroesophageal reflux disease (GERD) does not improve patient health, is associated with preventable harms, and may lead to unnecessary interventions and costs, according to an ACP clinical policy paper.
https://immattersacp.org/weekly/archives/2012/12/04/1.htm
4 Dec 2012

Improving the practice environment and payment reform

Recent examples and accomplishments of ACP advocacy toward improving the practice environment include increasing payments to internists, reducing administrative burdens, promoting continuity of care and access to physicians, and reducing the costs of prescription drugs.
https://immattersacp.org/archives/2015/11/presidents.htm
1 Nov 2015

Taking the mystery out of care coordination management

Care coordination isn't new, but value-based payment, patient-centered medical homes, accountable care organizations, and other alternate delivery and payment programs have moved the topic into the forefront of many conversations and policy discussions.
https://immattersacp.org/archives/2015/05/tips.htm
1 May 2015

Manage diagnosis, follow-up of depression systematically

Improvements to treating depressive symptoms led to improvements in A1c levels and blood pressure in one internist's practice. A systematic, manageable approach exists to diagnosis and treatment.
https://immattersacp.org/archives/2011/06/depression.htm
1 Jun 2011

Simple tools, teamwork manage depression in primary care

Embedding mental health professionals directly into a primary care setting threatens to add complexity to primary care's already hefty ‘to do” list. Clinics that have accomplished that task explain how not only was it easier than expected, but it adds tremendous benefits to the practice.
https://immattersacp.org/archives/2011/03/depression.htm
1 Mar 2011

Medicare pays for annual depression screening

One in six seniors suffers from depression. That rises to one in four with comorbidities. Tools and screens are available to help internists integrate this new focus of care into a practice routine.
https://immattersacp.org/archives/2012/03/tips.htm
1 Mar 2012

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