Continuity of Care and Adherence to Antidepressant Treatment Among Medicaid-Covered Youth.
| Autor: | Joyce, Hilary D., Fontanella, Cynthia A., Phillips, Gary |
|---|---|
| Předmět: |
ANTIDEPRESSANTS
MENTAL depression CHI-squared test CONFIDENCE intervals CONTINUUM of care DRUGS EPIDEMIOLOGY PATIENT aftercare LONGITUDINAL method MEDICAID EVALUATION of medical care MEDICAL quality control PATIENT compliance PSYCHIATRIC social work RESEARCH funding RURAL conditions COMORBIDITY LOGISTIC regression analysis DATA analysis SECONDARY analysis RETROSPECTIVE studies DATA analysis software DESCRIPTIVE statistics CHILDREN |
| Zdroj: | Social Work in Mental Health; May/Jun2013, Vol. 11 Issue 3, p267-287, 21p |
| Abstrakt: | Continuity of care is a critical indicator of quality of care and key to effective antidepressant medication management in children and adolescents. Little is known about the characteristics associated with receiving guidelines concordant care. Using a retrospective, longitudinal cohort design of youth with a new episode of depression, this study reviewed records and pre-existing data to (1) examine rates of conformance to continuity of care treatment guidelines (Health Plan Employer Data and Information Set [HEDIS]) for antidepressant management; (2) identify individual- and community-level characteristics associated with continuity of antidepressant treatment; and (3) investigate the relationship between continuity of care and antidepressant adherence. Two-thirds of youth met the HEDIS optimum contact criteria of three outpatient mental health contacts during the first 3 months of treatment. Good continuity of care was associated with prior outpatient treatment and taking other psychotropic medications while inadequate follow-up was associated with older adolescents, disabled children, and youths living in rural areas. Guidelines concordant follow-up was associated with better antidepressant adherence. Findings underscore the need to deliver guidelines concordant care, particularly among vulnerable subgroups. [ABSTRACT FROM PUBLISHER] |
| Databáze: | Complementary Index |
| Externí odkaz: |
|