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Utilization, cost, and medication ma...

Bremer, Robert William.

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Utilization, cost, and medication management outcomes of an integrated care intervention for depression.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Utilization, cost, and medication management outcomes of an integrated care intervention for depression./
作者:	Bremer, Robert William.
面頁冊數:	156 p.
附註:	Source: Dissertation Abstracts International, Volume: 64-07, Section: B, page: 3183.
Contained By:	Dissertation Abstracts International64-07B.
標題:	Health Sciences, Mental Health. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3098178

Utilization, cost, and medication management outcomes of an integrated care intervention for depression.
Bremer, Robert William.

Utilization, cost, and medication management outcomes of an integrated care intervention for depression. - 156 p.

Source: Dissertation Abstracts International, Volume: 64-07, Section: B, page: 3183.

Thesis (Ph.D.)--University of Colorado Health Sciences Center, 2003.

Integrated Care (IC) has been proposed as a treatment model to improve the recognition and treatment of depression in primary care. The primary objectives of this thesis were to evaluate (1) changes in the rates of primary care, mental health department, and medical sub-specialty services, (2) the total cost of health services between groups, and (3) the relationship among adherence to antidepressants and depression outcomes as a result of an IC intervention. The IC model in this study was implemented in a Family Medicine clinic and consisted of a full-time psychologist based in the clinic to provide direct care and consultation to primary care physicians. The study population was 86 patients in the IC group from the Family Medicine clinic and 81 patients in a Screening Only group from the Internal Medicine clinic. Evaluation of the rates of primary care, mental health department, and medical sub-specialties showed no differences between groups at any of the four post-intervention time points. Health services costs included in the analysis showed that there was a significant decrease in costs between groups at three of the four time points, but comparison of costs for all time points from baseline was not significant. Analysis of antidepressant medication management showed no differences between groups in the improvement of adequate antidepressant management. There were also no differences in the improvement of depression severity scores between patients who did received adequate antidepressant management and those patients who did not. There was however, significant improvement in depression severity scores in the IC group, among a subset of patients who received adequate antidepressant management. These findings support the conclusion that costs for the IC intervention were statistically equivalent to a group of patients who only received screening, and that the benefit of the IC intervention involve some other important factor other than improving adequate antidepressant medication management. The specific processes that led to improvements in QPD scores among the group that had adequate antidepressant medication management needs to be explored further. Further study from other similar intervention is needed to more strongly support these findings.Subjects--Topical Terms:

1017693
Health Sciences, Mental Health.

Utilization, cost, and medication management outcomes of an integrated care intervention for depression.
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