Depression In Primary Care: Clinical Epidemiology & Clinical Decision Analysis — An Analytical Review
Abstract
A clinical decision analysis (CDA) is a mathematical tool designed to facilitate complex clinical decisions
in which many variables should be considered simultaneously. CDA is a feasible tool for multifaceted
problem of management of depression in primary health care. It provides a systematic frame work for
organizing all data relevant to the decision on recognition and management of depression. Clinical
epidemiological perspective is used for assessing the validity of screening instrument. A decision matrix
based on reported probabilities is also constructed. Chance nodes and decisions pertinent to co
morbidities, illness severity and treatment options for depression are also presented.
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