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In 1979 Stott and Davis identified the four areas of exceptional potential to serve patients in every primary care consultation, which included management of continuing problems along with management of the presenting problem, opportunistic health promotion, and modification of help seeking behaviour.1 However, we now know that chronic diseases are often more effectively managed through special clinics outside routine consultations, usually staffed by practice nurses. Such "mini-clinics" have been shown to improve the outcome of asthma2 and diabetes3 and are now widespread in British general practice, encouraged by separate payments for chronic disease management. Might this approach also be applied to depression?
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Tony Kendrick (2000) studied this question.
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