Impact of the QOF and the NICE guideline in the diagnosis and management of depression: a qualitative study

Mitchell, Caroline; Dwyer, Rachel; Hagan, Teresa; Mathers, Nigel
May 2011
British Journal of General Practice;May2011, Vol. 61 Issue 586, p343
Academic Journal
The article discusses a study which explored the impact of the practice of the Quality and Outcomes Framework (QOF) and the British National Institute for Health and Clinical Excellence (NICE) on depression diagnosis and management. Based on the results, general practitioners saw the use of Patient Health Questionnaire 9 (PHQ-9) as intrusive and difficult to administer to non-English-speaking patients, the potential for missing QOF targets, and GP strategic labeling of depression. Observation showed nurse-perceived barriers to depression screening.


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