Randomized trial of a telephone care management program for outpatients starting antidepressant treatment.
Randomized trial of a telephone care management program for outpatients starting antidepressant treatment.
复制标题
针对开始抗抑郁治疗的门诊患者的电话护理管理计划的随机试验。
DOI：
10.1176/ps.2006.57.10.1441
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发表时间：
2006
期刊：
影响因子：
--
通讯作者：
Operskalski,BelindaH
中科院分区：
文献类型：
--
作者：
Simon,GregoryE;Ludman,EvetteJ;Operskalski,BelindaH
方法参与者于 2002 年在 Group Health Cooperative 的四个团体模式行为健康诊所入组，该合作社是一项预付费健康计划，为华盛顿州和爱达荷州北部的约 500,000 名会员提供服务。 Group Health 在预付费（按人头付费）的基础上提供一般医疗和专业心理健康护理，专业心理健康人员配备水平与其他团体模式管理式护理组织相似 (8)。团体健康的参保者与地区人口相似，但团体健康的参保者往往具有较高的教育水平，并且高收入居民的比例高于普通公众（9）。尽管初级保健医生开出了大多数新的抗抑郁药处方，但团体健康成员可以自行咨询精神科医生或其他心理健康提供者。
MethodsParticipants were enrolled in 2002 at four group-model behavioral health clinics of Group Health Cooperative, a prepaid health plan serving approximately 500,000 members in Washington and Northern Idaho. Group Health provides general medical and specialty mental health care on a prepaid (capitated) basis, with specialty mental health staffing levels similar to those at other group-model managed care organizations (8). Enrollees in Group Health are similar to the area population except Group Health enrollees tend to have a higher educational level, and the proportion of high-income residents is larger than in the general public (9). Although primary care physicians write a majority of new antidepressant prescriptions, Group Health members may self-refer to psychiatrists or other mental health providers.