The effects of primary care depression treatment on patients' clinical status and employment
The effects of primary care depression treatment on patients' clinical status and employment
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DOI：
10.1111/1475-6773.01086
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发表时间：
2002-10-01
影响因子：
3.4
通讯作者：
Wells, KB
中科院分区：
文献类型：
--
作者：
Schoenbaum, M;Unützer, J;Wells, KB
目标。评估初级保健中抑郁症治疗对患者临床状况和就业的影响，超过6个月。数据来源/研究背景。数据来自一项改善抑郁症质量的随机对照试验，该试验包括五个州46个管理初级保健诊所的938名患有抑郁症的成年人。研究设计。为期六个月的循证抑郁症护理对健康结局和就业的影响的观察分析。纳入治疗的选择使用工具变量技术，以随机分配到质量改进干预措施作为识别工具。患者报告的临床状态、职业、医疗保健用途和个人特征；索赔数据中的医疗保健用途和费用。主要调查结果。6个月后，接受适当护理的患者与没有接受适当护理的患者相比，抑郁障碍的发生率较低(24%比70%)，与心理健康相关的生活质量更好，就业率更高(72%比53%)。
Objective. To evaluate the effects of depression treatment in primary care on patients' clinical status and employment, over six months.Data Sources/Study Setting. Data are from a randomized controlled trial of quality improvement for depression that included 938 adults with depressive disorder in, 46 managed primary care clinics in five states.Study Design. Observational analysis of the effects of evidence-based depression care over six months on health outcomes and employment. Selection into treatment is accounted for using instrumental variables techniques, with randomized assignment to the quality improvement intervention as the identifying instrument.Data Collection/Extraction Methods. Patient-reported clinical status, employment, health care use, and personal characteristics; health care use and costs from claims data.Principal Findings. At six months, patients with appropriate care, compared to those without it, had lower rates of depressive disorder (24 percent versus 70 percent), better mental health-related quality of life, and higher rates of employment (72 percent versus 53 percent), each p