Integrating Depression Care Management into Medicare Home Health Reduces Risk of 30- and 60-Day Hospitalization: The Depression Care for Patients at Home Cluster-Randomized Trial.
Integrating Depression Care Management into Medicare Home Health Reduces Risk of 30- and 60-Day Hospitalization: The Depression Care for Patients at Home Cluster-Randomized Trial.
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DOI：
10.1111/jgs.14440
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发表时间：
2016-11
影响因子：
6.3
通讯作者：
Raue PJ
中科院分区：
文献类型：
--
作者：
Bruce ML;Lohman MC;Greenberg RL;Bao Y;Raue PJ
To determine whether a depression care management intervention among Medicare home health recipients decreases risks of hospitalization. Cluster-randomized trial. Nurse teams were randomized to Intervention (12 teams) or Enhanced Usual Care (EUC; 9 teams). Six home health agencies from distinct geographic regions. Patients were interviewed at home and by telephone. Patients age>65 who screened positive for depression on nurse assessments (N=755), and a subset who consented to interviews (N=306). The Depression CAREPATH (CARE for PATients at Home) guides nurses in managing depression during routine home visits. Clinical functions include weekly symptom assessment, medication management, care coordination, patient education, and goal setting. Researchers conducted biweekly telephone conferences with team supervisors. The study examined acute-care hospitalization and days to hospitalization. H1 used data from the home health record to examine hospitalization over 30-day and 60-day periods while a home health patient. H2 used data from both home care record and research assessments to examine 30-day hospitalization from any setting. The adjusted hazard ratio (HR) of being admitted to hospital directly from home health within 30 days of start of home health care was 0.65 (p=.013) for CAREPATH compared to EUC patients, and 0.72 (p=.027) within 60 days. In patients referred to home health directly from hospital, the relative hazard of being rehospitalized was approximately 55% lower (HR = 0.45, p=.001) among CAREPATH patients. Integrating CAREPATH depression care management into routine nursing practice reduces hospitalization and rehospitalization risk among older adults receiving Medicare home health nursing services.
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影响因子：
3.8
作者：
Bao, Yuhua;Eggman, Ashley A.;Bruce, Martha L.
通讯作者：
Bruce, Martha L.
影响因子：
120.7
作者：
Bruce, ML;Ten Have, TR;Alexopoulos, GS
通讯作者：
Alexopoulos, GS
影响因子：
6.3
作者：
Gellis, Zvi D.;Kenaley, Bonnie L.;Ten Have, Thomas
通讯作者：
Ten Have, Thomas
影响因子：
7.2
作者：
Mezuk, Briana;Lohman, Matthew;Lapane, Kate L.
通讯作者：
Lapane, Kate L.
DOI：
10.1097/nhh.0b013e31821fe9f7
发表时间：
2011-07
期刊：
Home healthcare nurse
影响因子：
--
作者：
Bruce ML;Sheeran T;Raue PJ;Reilly CF;Greenberg RL;Pomerantz JC;Meyers BS;Weinberger MI;Johnston CL
通讯作者：
Johnston CL