Creating a safety net for patients with depression inprimary care: a qualitative study of care managers’ experiences

Objective: The aim of this study was to explore nurses’experiences and perceptions of working as care managers at primary care centers. Design: Qualitative, focus group study. Malterud’s method of systematic text condensation was used to analyse the data. Setting: Primary health care in the region of Västra Götaland and region of Dalarna in Sweden. Subjects: Eight nurses were trained during three days including treatment of depression and how to work as care managers. The training was followed by continuous support in the method. Main outcome measures: The nurses’s experiences and perceptions of working as care managers at primary care centers. Results: The care managers described their role as providing additional support to the already existing care at the primary care center, working in teams with a person-centered focus, where they were given the opportunity to follow, support, and constitute a safety net for patients with depression. Further, they perceived that the care manager increased continuity and accessibility to primary care for patients with depression. Conclusion: The nurses perceived that working as care managers enabled them to follow and support patients with depression and to maintain close contact during the illness. The care manager function helped to provide continuity in care which is a main task of primary health care.