Impact of collaborative care for depression on clinical, functional, and work outcomes: A practice-based evaluation

Nathan D. Shippee, Nilay D. Shah, Kurt B. Angstman, Ramona S. Dejesus, John M. Wilkinson, Steven M. Bruce, Mark D. Williams

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

Background: The impact of collaborative care (CC) on depression and work productivity in routine, nonresearch primary care settings remains unclear due to limited evidence. Methods: This prospective study examined depression and work outcomes (eg, absenteeism, presenteeism) for 165 individuals in CC for depression versus 211 patients in practice as usual in a multisite primary care practice. Results: CC predicted greater adjusted 6-month improvements in treatment response, remission, and absenteeism versus practice as usual. Response/remission increased productivity overall. Conclusions: CC increased clinical and work improvements in a nonresearch care setting. Insurers and employers should consider CC's work benefits in developing payment structures.

Original languageEnglish (US)
Pages (from-to)13-23
Number of pages11
JournalJournal of Ambulatory Care Management
Volume36
Issue number1
DOIs
StatePublished - Jan 1 2013

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Keywords

  • absenteeism
  • collaborative care
  • depression
  • primary health care
  • work

ASJC Scopus subject areas

  • Health Policy

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