Evaluating Depression Care Management in a Community Setting: Main Outcomes for a Medicaid HMO Population with Multiple Medical and Psychiatric Comorbidities
| Autor: | Steve Zyzanski, Alexis A. Giese, Jeanette A. Waxmonsky, Gretchen Flanders McGinnis, L. Miriam Dickinson, Marshall P. Thomas, Paul A. Nutting |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
education.field_of_study Article Subject lcsh:RC435-571 business.industry lcsh:BF1-990 Population Public sector Alternative medicine Pharmacy Psychiatry and Mental health Clinical Psychology lcsh:Psychology lcsh:Psychiatry Intervention (counseling) Family medicine medicine Community setting education business Medicaid Depression (differential diagnoses) Research Article |
| Zdroj: | Depression Research and Treatment, Vol 2012 (2012) Depression Research and Treatment |
| ISSN: | 2090-133X 2090-1321 |
| DOI: | 10.1155/2012/769298 |
| Popis: | The authors describe the implementation of a depression care management (DCM) program at Colorado Access, a public sector health plan, and describe the program’s clinical and system outcomes for members with chronic medical conditions. High medical risk, high cost Medicaid health plan members were identified and systematically screened for depression. A total of 370 members enrolled in the DCM program. Longitudinal analyses revealed significantly reduced depression severity scores at 3, 6, and 12 months after intervention as compared to baseline depression scores. At 12 months, 56% of enrollees in the DCM program had either a 50% reduction in PHQ-9 scores or a PHQ-9 score < 10. Longitudinal economic analyses comparing 12 months before and after intervention revealed a significant but modest increase in ER visits, outpatient office visits, and overall medical and pharmacy costs when adjusted for months enrolled in DCM. Limitations and recommendations for the integrated depression care management are discussed. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|