The Institute of Medicine "Chasm" report: implications for depression collaborative care models

Gen Hosp Psychiatry. 2003 Jul-Aug;25(4):222-9. doi: 10.1016/s0163-8343(03)00064-1.


The Institute of Medicine report "Crossing the Quality Chasm: A New Health Care System for the 21st Century" describes the barriers in the American health care system to improving quality of care and outcomes of chronic illness. This article describes how depression collaborative care models as well as newer research aimed at organizational and economic issues have addressed these barriers in order to improve outcomes for patients with depression in primary care systems.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Comprehensive Health Care / organization & administration*
  • Comprehensive Health Care / standards
  • Cooperative Behavior
  • Depressive Disorder / therapy*
  • Health Services Research
  • Humans
  • Mental Health Services / organization & administration*
  • Mental Health Services / standards
  • Models, Organizational
  • National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division
  • Patient-Centered Care / organization & administration*
  • Primary Health Care / organization & administration*
  • Primary Health Care / standards
  • Quality of Health Care
  • United States