الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
The complexity of the clinical and organizational problems this review raise is offset by the potential contribution that successful efforts to improve primary care depression management can make to the individual, to the family, to the work place, and to society at large.
Based on this review, the following recommendations are suggested
1-Aligning efforts to improve depression care with broader strategies for improving care of other chronic conditions.
2- Account should be taken of specific needs of communities and people who may be at a higher risk of depression for particular reasons (for example: social, environmental, occupational, lifestyle, life circumstances, gender, ethnicity, sexuality, genetics)
3- Increasing the availability of depression case management services in primary care,
4- Achieving agreement on how depression outcomes should be measured to provide outcomes-based performance standards.
5- Developing registries and reminder systems to ensure active follow-up of depressed patients.
6-Increase awareness about mental health to improve public understanding of the value of positive mental health and well-being as well as to improve recognition of early signs and to reduce the stigma associated with treatment of depression .
7- Providing greater support from mental health specialists for management of depressed patients by primary care providers .
8-Increased dissemination of interventions that activate and empower patients managing a depressive illness, For policy-makers the emphasis should be on brief, one page summaries of key actions required and their justification, rather than reliance on long technical reports which may be read by very few people
9-Redefining the lack of time of primary care providers for high-quality depression care as issues in organization of care and provider training, and development of incentives (organizational or financial) for high-quality depression care.
10- Research needs should be identified based on what has been learned to date. Identified research needs included: studies of approaches to organization of case management, research in new populations (eg, new diagnostic groups, rural populations, the disadvantaged, the elderly, and those with chronic medical illnesses), research on stepped care and relapse prevention strategies, evaluation of the societal benefits of improved depression care, and multisite trials and meta-analytic approaches that can provide adequate statistical power to assess societal benefits of improved care.