Table 3 Results of the self-assessment questionnaire for GPs on eleven indicators of optimal care
GP 1 | GP 2 | GP 3 | GP 4 | GP5 | GP 6 | |
|---|---|---|---|---|---|---|
Organisational preconditions for optimal depression care available $ | No | No | No | Yes | Yes | Yes |
1.1 Use of a screening instrument in patients who are suspected of having a depression | Yes* | Yes | No* | Yes | No | Yes |
25-50%# | 1-25% | 0% | 75-100% | 0% | 50-75% | |
2.1 Providing self-management and/or e-health interventions to patients with depressive complaints or a mild depression. | Yes | Yes | No | Yes | No | Yes |
1-25% | 75-100% | 0% | 25-50% | 0% | 25-50% | |
3.1 Measurement of the severity of the depression prior to possible treatment | Yes | No | No | No | No | Yes |
1-25% | 0% | 0% | 0% | 0% | 50-75% | |
3.2 Providing educational material to patients with depression | Yes | Yes | No | Yes | Yes | Yes |
75-100% | 1-25% | 0% | 1-25% | 1-25% | 25-50% | |
3.3 Providing first step and brief interventions to patients with a mild depression | Yes | Yes | Yes | Yes | Yes | Yes |
50-75% | 75-100% | 25-50% | 75-100% | 25-50% | 50-75% | |
3.4 Providing psychotherapy and/or pharmacotherapy to patients with a moderate to severe major depressive disorder or a recurrent depression | Yes | Yes | Yes | Yes | Yes | Yes |
50-75% | 75-100% | 75-100% | 50-75% | 25-50% | 75-100% | |
3.5 Systematically monitoring changes in the severity of the depression with a validated instrument | No | No | No | No | No | yes |
0% | 0% | 0% | 0% | 0% | 25-50% | |
4.1 Making collaborative care agreements when multiple health care providers are involved in the treatment of a patient with a (severe or prolonged) depression (“who does what”) | Yes | No | No | Yes | Yes | No |
25-50% | 0% | 0% | ? | 25-50% | 0% | |
4.2 Making agreements about referral of patients from secondary mental health care to primary care | No | No | No | No | No | Yes |
5.1 Providing relapse prevention | Yes | Yes | Yes | Yes | Yes | Yes |
25-50% | 75-100% | 75-100% | ? | 25-50% | 1-25% | |
5.2 Providing ongoing counselling to patients with chronic depression (who are referred back from secondary care) | No | No | No | Yes | No | No |
0% | 0% | 0% | 50-75% | 0% | 0% |