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Rev Psiquiatr Salud Ment. 2015 Jul-Sep;8(3):157-66. doi: 10.1016/j.rpsm.2014.10.004. Epub 2014 Dec 12.

Development and impact of computerised decision support systems for clinical management of depression: A systematic review.

[Article in English, Spanish]

Author information

1
Agencia de Evaluación de Tecnologías Sanitarias de Galicia, Consellería de Sanidade, Santiago de Compostela, A Coruña, España. Electronic address: avalia-t3@sergas.es.
2
Agencia de Evaluación de Tecnologías Sanitarias de Galicia, Consellería de Sanidade, Santiago de Compostela, A Coruña, España.
3
Centro de Salud de Cambre, Estructura de Gestión Integrada de A Coruña, A Coruña, España.
4
Servicio de Psiquiatría, Estructura Organizativa de Gestión Integrada de Vigo, Vigo, Pontevedra, España.
5
Corporació Sanitària Parc Taulí, Sabadell, Barcelona, España.

Abstract

One of the proposals for improving clinical practice is to introduce computerised decision support systems (CDSS) and integrate these with electronic medical records. Accordingly, this study sought to systematically review evidence on the effectiveness of CDSS in the management of depression. A search was performed in Medline, EMBASE and PsycInfo, in order to do this. The quality of quantitative studies was assessed using the SIGN method, and qualitative studies using the CASPe checklist. Seven studies were identified (3 randomised clinical trials, 3 non-randomised trials, and one qualitative study). The CDSS assessed incorporated content drawn from guidelines and other evidence-based products. In general, the CDSS had a positive impact on different aspects, such as the screening and diagnosis, treatment, improvement in depressive symptoms and quality of life, and referral of patients. The use of CDSS could thus serve to optimise care of depression in various scenarios by providing recommendations based on the best evidence available and facilitating decision-making in clinical practice.

KEYWORDS:

Clinical practice guidelines; Computerised decision support systems; Depresión; Depression; Electronic health record; Guías de práctica clínica; Historia clínica electrónica; Sistemas informatizados de apoyo a las decisiones

PMID:
25500093
DOI:
10.1016/j.rpsm.2014.10.004
[Indexed for MEDLINE]

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