Cost-effectiveness of interventions for depressed Latinos

Cost-effectiveness of interventions for depressed Latinos
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抑郁拉丁裔干预措施的成本效益

DOI:
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发表时间:
2017
期刊:
影响因子:
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通讯作者:
B. Rollman
B. Rollman
中科院分区:
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文献类型:
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作者:
B. Rollman

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卫生技术两个质量改进干预措施,一个促进药物管理(QI-Meds)和另一个促进心理治疗(QI-Therapy),为管理抑郁症拉丁裔和白色患者在初级保健进行了检查。干预措施为实践提供培训和资源,以根据当地实践目标和资源启动和监测QI计划。诊所通过邮件收到抑郁症实践指南。在QI-Meds中,经过培训的护士可提供随访评估和6个月护理依从性支持。在QITherapy中,该研究为当地的心理治疗师提供了患者和治疗师手册。它还通过为期两天的讲习班和对每名治疗师一名病人的个人监督,对他们进行了8至12节的个人和团体认知行为治疗课程的培训。将这两种干预措施与常规护理进行比较。
Health technology Two quality improvement interventions, one facilitating medication management (QI-Meds) and another facilitating psychotherapy (QI-Therapy), for the management of depressive Latino and white patients in primary care were examined. The interventions provided practices with training and resources to initiate and monitor QI programmes according to local practice goal and resources. Clinics received depression practice guidelines by mail. In QI-Meds, trained nurses were available to provide follow-up assessments and support for adherence to care for 6 months. In QITherapy, the study provided local psychotherapists with patient and therapist manuals. It also trained them in 8to 12-session courses of individual and group cognitive-behavioural therapy (CBT) via a two-day workshop and individual supervision of one patient per therapist. These two interventions were compared with usual care.
DOI: 10.1001/jama.283.2.212
发表时间: 2000-01-12
影响因子: 120.7
作者:
Wells, KB;Sherbourne, C;Rubenstein, LV
通讯作者: Rubenstein, LV