Article Document Academic Article Information Content Entity Continuant Continuant Journal Article Entity Entity Generically Dependent Continuant 2025-05-08T02:46:51 RDF description of Relationship between the presence of practice systems and the quality of care for depression - http://repository.healthpartners.com/individual/document-rn18988 Depression 16554 document-rn18988 10987 10.1177/1062860608324547 2022-02-21T22:48:57.408-06:00 Relationship between the presence of practice systems and the quality of care for depression Quality of Health Care Minnesota public Group Practice Chronic Disease <p>A valid measure of practice systems for improving chronic disease care is needed as a guide for both improvement and public accountability. We tested whether a new survey measure of the presence of practice systems (the PPC-R) is associated with performance measure rates for depression among 40 medical groups in Minnesota. These PPC-R scores were compared with standardized medical group measures of antidepressant persistence. Only 54% of potentially important systems were present, and there was high variability. However, there was a positive correlation between systems and quality on the 90-day measure of antidepressant persistence, both overall (r = .33, P = .04) and for the Chronic Care Model domains of decision support (r = .38, P = .02) and delivery system redesign (r = .31, P = .05). Thus, practice systems overall and several domains of the Chronic Care Model appear to be associated with higher quality care for depression. This questionnaire may help practices identify particular systems to improve.<p> Questionnaires American Journal of Medical Quality 23 6