B S Sibbald

TL;DR: The aim of this study was to determine both the clinical and cost-effectiveness of usual general practitioner (GP) care compared with two types of brief psychological therapy in the management of depression as well as mixed anxiety and depression in the primary care setting.

TL;DR: The study suggests that there are important relationships between team structure, process, and outcome that may be of relevance to quality improvement initiatives in primary care.

TL;DR: Primary care professionals identify a number of challenges in care for multimorbidity and adopt a particular model of decision making to deliver care for multiple individual conditions, however, they did not describe specific decision making around managing multimOrbidity per se.

TL;DR: Although patients and physicians often have intervention preferences, the review gives less support to the hypothesis that preferences significantly compromise the internal and external validity of trials and adds to the growing evidence that when preferences based on informed expectations or strong ethical objections to an RCT exist, observational methods are a valuable alternative.

TL;DR: Preliminary evidence of validity in terms of measures of long-term condition care is demonstrated and the PACIC scale has demonstrated potential utility in this regard, but further assessment is required to assess low levels of completion of the scale, and to explore the performance of the Scale in predicting outcomes and assessing the effects of interventions.