The Institute of Medicine “Chasm” report: implications for depression collaborative care models
Abstract
The Institute of Medicine report "Crossing the Quality Chasm: A New Health Care System for the 21st Century" describes the barriers in the American health care system to improving quality of care and outcomes of chronic illness. This article describes how depression collaborative care models as well as newer research aimed at organizational and economic issues have addressed these barriers in order to improve outcomes for patients with depression in primary care systems.
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Depressed patients with a chronic medical illness have lower treatment adherence.
“Depressed patients with a chronic medical illness are usually sicker than their counterparts37–46 and have lower treatment adherence.37,47–51”
From Anxiety and Depression in COPD (2008) · cites this paper as [48]
Most Americans with chronic illnesses such as COPD, asthma, diabetes, or major depression are not receiving recommended care.
“The Institute of Medicine “Chasm Report” has shown that most Americans with chronic illnesses such as COPD, asthma, diabetes, or major depression are not receiving recommended care.48”
From Anxiety and Depression in COPD (2008) · cites this paper as [48]
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Pebbles in a pond: NIMH grants stimulate improvements in primary care treatment of depression
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- Authors
- Katon, W. J.
- Affiliations
- University of Washington (US)
- Corresponding author
- Katon, Wayne J.
- Venue
- General Hospital Psychiatry
- Publisher
- Elsevier BV
- Published
- 2003-07
- Volume
- 25
- Issue
- 4
- Pages
- 222-229
- ISSN
- 0163-8343 (ISSN-L)
- OpenAlex
- W2076031445
- Cited by
- 73
- References
- 58
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2021: 2 · 2020: 1 · 2019: 2 · 2018: 2 · 2017: 4 · 2015: 4 · 2014: 3 · 2012: 4
- FWCI
- 9.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- General Hospital Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Institute of Mental Health (R01MH041739, MH4-1739, MH01673)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Keywords
- Crossing the Quality Chasm, depression, collaborative care, primary care, quality of care, chronic disease, organizational challenges, economic problems, patient outcomes
- MeSH terms
- Comprehensive Health Care, Cooperative Behavior, Depressive Disorder, Health Services Research, Humans, Mental Health Services, Primary Health Care, Quality of Health Care, United States, National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division, Models, Organizational, Patient-Centered Care
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