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 Citations (Scopus)

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 2013

Fingerprint

Depression
Absenteeism
Primary Health Care
Efficiency
Insurance Carriers
Prospective Studies
Therapeutics
Presenteeism

Keywords

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

ASJC Scopus subject areas

  • Health Policy

Cite this

Impact of collaborative care for depression on clinical, functional, and work outcomes : A practice-based evaluation. / Shippee, Nathan D.; Shah, Nilay D; Angstman, Kurt B.; Dejesus, Ramona S.; Wilkinson, John M.; Bruce, Steven M.; Williams, Mark D.

In: Journal of Ambulatory Care Management, Vol. 36, No. 1, 01.2013, p. 13-23.

Research output: Contribution to journalArticle

Shippee, Nathan D. ; Shah, Nilay D ; Angstman, Kurt B. ; Dejesus, Ramona S. ; Wilkinson, John M. ; Bruce, Steven M. ; Williams, Mark D. / Impact of collaborative care for depression on clinical, functional, and work outcomes : A practice-based evaluation. In: Journal of Ambulatory Care Management. 2013 ; Vol. 36, No. 1. pp. 13-23.
@article{28c24d13cd584d73a65320bdbeea838d,
title = "Impact of collaborative care for depression on clinical, functional, and work outcomes: A practice-based evaluation",
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.",
keywords = "absenteeism, collaborative care, depression, primary health care, work",
author = "Shippee, {Nathan D.} and Shah, {Nilay D} and Angstman, {Kurt B.} and Dejesus, {Ramona S.} and Wilkinson, {John M.} and Bruce, {Steven M.} and Williams, {Mark D}",
year = "2013",
month = "1",
doi = "10.1097/JAC.0b013e318276dc10",
language = "English (US)",
volume = "36",
pages = "13--23",
journal = "Journal of Ambulatory Care Management",
issn = "0148-9917",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - Impact of collaborative care for depression on clinical, functional, and work outcomes

T2 - A practice-based evaluation

AU - Shippee, Nathan D.

AU - Shah, Nilay D

AU - Angstman, Kurt B.

AU - Dejesus, Ramona S.

AU - Wilkinson, John M.

AU - Bruce, Steven M.

AU - Williams, Mark D

PY - 2013/1

Y1 - 2013/1

N2 - 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.

AB - 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.

KW - absenteeism

KW - collaborative care

KW - depression

KW - primary health care

KW - work

UR - http://www.scopus.com/inward/record.url?scp=84871575808&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84871575808&partnerID=8YFLogxK

U2 - 10.1097/JAC.0b013e318276dc10

DO - 10.1097/JAC.0b013e318276dc10

M3 - Article

C2 - 23222009

AN - SCOPUS:84871575808

VL - 36

SP - 13

EP - 23

JO - Journal of Ambulatory Care Management

JF - Journal of Ambulatory Care Management

SN - 0148-9917

IS - 1

ER -