scholarly journals Feedback to physicians plus telephone care management improved outcomes in primary care patients with depression

2000 ◽  
Vol 5 (5) ◽  
pp. 157-157 ◽  
Author(s):  
J. W Williams
Keyword(s):  
Primary Care ◽  
Care Management ◽  
Improved Outcomes ◽  
Primary Care Patients

scholarly journals Depression Outcomes in Smokers and Nonsmokers: Comparison of Collaborative Care Management Versus Usual Care

2019 ◽  
Vol 10 ◽  
pp. 215013271986126 ◽  
Author(s):  
Joseph A. Akambase ◽  
Nathaniel E. Miller ◽  
Gregory M. Garrison ◽  
Paul Stadem ◽  
Heather Talley ◽  
...  
Keyword(s):  
Primary Care ◽  
Clinical Outcomes ◽  
Collaborative Care ◽  
Clinical Remission ◽  
Care Management ◽  
Negative Impact ◽  
Reference Group ◽  
Care Practice ◽  
Treatment Type ◽  
Primary Care Patients

Background: Depression is common in the primary care setting and tobacco use is more prevalent among individuals with depression. Recent research has linked smoking to poorer outcomes of depression treatment. We hypothesized that in adult primary care patients with the diagnosis of depression, current smoking would have a negative impact on clinical outcomes, regardless of treatment type (usual primary care [UC] vs collaborative care management [CCM]). Methods: A retrospective chart review study of 5155 adult primary care patients with depression in a primary care practice in southeast Minnesota was completed. Variables obtained included age, gender, marital status, race, smoking status, initial Patient Health Questionnaire–9 (PHQ-9), and 6-month PHQ-9. Clinical remission (CR) was defined as 6-month PHQ-9 <5. Persistent depressive symptoms (PDS) were defined as PHQ-9 ≥10 at 6 months. Treatment in both CCM and UC were compared. Results: Using intention to treat analysis, depressed smokers treated with CCM were 4.60 times as likely (95% CI 3.24-6.52, P < .001) to reach CR and were significantly less likely to have PDS at 6 months (adjusted odds ratio [AOR] 0.19, 95% CI 0.14-0.25, P < .001) compared with smokers in UC. After a 6-month follow-up, depressed smokers treated with CCM were 1.75 times as likely (95% CI 1.18-2.59, P = .006) to reach CR and were significantly less likely to have PDS (AOR 0.45, 95% CI 0.31-0.64, P < .001) compared with smokers in UC. Conclusions: CCM significantly improved depression outcomes for smokers at 6 months compared with UC. However, in the UC group, smoking outcomes were not statistically different at 6 months for either remission or PDS. Also, nonsmokers in CCM had the best clinical outcomes at 6 months in both achieving clinical remission and reduction of PDS when compared with smokers in UC as the reference group.

Care management for depression and osteoarthritis pain in older primary care patients: a pilot study

2008 ◽  
Vol 23 (11) ◽  
pp. 1166-1171 ◽  
Author(s):  
Jürgen Unützer ◽  
Melinda Hantke ◽  
Diane Powers ◽  
Lori Higa ◽  
Elizabeth Lin ◽  
...  
Keyword(s):  
Primary Care ◽  
Pilot Study ◽  
Care Management ◽  
Osteoarthritis Pain ◽  
Primary Care Patients

O2-14-06: Drug-Related Problems in Community-Dwelling Primary Care Patients with Dementia: The Effect of Dementia Care Management

2016 ◽  
Vol 12 ◽  
pp. P266-P266
Author(s):  
Diana Wucherer ◽  
Tilly Eichler ◽  
Jochen René Thyrian ◽  
Ingo Kilimann ◽  
Johannes Hertel ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Management ◽  
Dementia Care ◽  
Community Dwelling ◽  
Drug Related Problems ◽  
Primary Care Patients

Impact of Symptom Remission on Outpatient Visits in Depressed Primary Care Patients Treated with Collaborative Care Management and Usual Care

2014 ◽  
Vol 17 (3) ◽  
pp. 180-184 ◽  
Author(s):  
Matthew R. Meunier ◽  
Kurt B. Angstman ◽  
Kathy L. MacLaughlin ◽  
Sara S. Oberhelman ◽  
James E. Rohrer ◽  
...  
Keyword(s):  
Primary Care ◽  
Usual Care ◽  
Collaborative Care ◽  
Care Management ◽  
Outpatient Visits ◽  
Symptom Remission ◽  
Primary Care Patients

scholarly journals Cost-Effectiveness of a Technology-Facilitated Depression Care Management Adoption Model in Safety-Net Primary Care Patients with Type 2 Diabetes

2018 ◽  
Vol 21 (5) ◽  
pp. 561-568 ◽  
Author(s):  
Joel W. Hay ◽  
Pey-Jiuan Lee ◽  
Haomiao Jin ◽  
Jeffrey J. Guterman ◽  
Sandra Gross-Schulman ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Primary Care ◽  
Cost Effectiveness ◽  
Care Management ◽  
Safety Net ◽  
Depression Care ◽  
Depression Care Management ◽  
Primary Care Patients ◽  
Adoption Model

scholarly journals Cost-effectiveness of preventing depression in primary care patients

2006 ◽  
Vol 188 (4) ◽  
pp. 330-336 ◽  
Author(s):  
Filip Smit ◽  
Godelief Willemse ◽  
Marc Koopmanschap ◽  
Simone Onrust ◽  
Pim Cuijpers ◽  
...  
Keyword(s):  
Primary Care ◽  
Cost Effectiveness ◽  
Depressive Disorder ◽  
Usual Care ◽  
Cost Effective ◽  
Randomised Clinical Trial ◽  
Improved Outcomes ◽  
Primary Care Patients ◽  
Minimal Contact ◽  
The Cost

BackgroundLittle is known about the cost-effectiveness of preventing mental disorders.AimsTo study the cost-effectiveness of care as usual plus minimal contact psychotherapy relative to usual care alone in preventing depressive disorder.MethodAn economic evaluation was conducted alongside a randomised clinical trial. Primary care patients with sub-threshold depression were assigned to minimal contact psychotherapy plus usual care (n=107) or to usual care alone (n=109).ResultsPrimary care patients with sub-threshold depression benefited from minimal contact psychotherapy as it reduced the risk of developing a full-blown depressive disorder from 18% to 12%. In addition, this intervention had a 70% probability of being more cost-effective than usual care alone. A sensitivity analysis indicated the robustness of these results.ConclusionsOver 1 year adjunctive minimal contact psychotherapy improved outcomes and generated lower costs. This intervention is therefore superior to usual care alone in terms of cost-effectiveness.

scholarly journals Telephone Psychotherapy and Telephone Care Management for Primary Care Patients Starting Antidepressant Treatment

JAMA ◽  
2004 ◽  
Vol 292 (8) ◽  
pp. 935 ◽  
Author(s):  
Gregory E. Simon ◽  
Evette J. Ludman ◽  
Steve Tutty ◽  
Belinda Operskalski ◽  
Michael Von Korff
Keyword(s):  
Primary Care ◽  
Care Management ◽  
Antidepressant Treatment ◽  
Primary Care Patients ◽  
Telephone Psychotherapy
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