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

J Ambul Care Manage. Jan-Mar 2013;36(1):13-23. doi: 10.1097/JAC.0b013e318276dc10.

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.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Absenteeism*
  • Adult
  • Cooperative Behavior*
  • Depression / therapy*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Minnesota
  • Outcome Assessment, Health Care*
  • Primary Health Care*
  • Prospective Studies