Shippee Nathan D, Shah Nilay D, Angstman Kurt B, DeJesus Ramona S, Wilkinson John M, Bruce Steven M, Williams Mark D
Division of Health Policy and Management, University of Minnesota, Minneapolis, 55455, USA.
J Ambul Care Manage. 2013 Jan-Mar;36(1):13-23. doi: 10.1097/JAC.0b013e318276dc10.
The impact of collaborative care (CC) on depression and work productivity in routine, nonresearch primary care settings remains unclear due to limited evidence.
This prospective study examined depression and work outcomes (eg, absenteeism, presenteeism) for 165 individuals in CC for depression versus 211 patients in practice as usual in a multisite primary care practice.
CC predicted greater adjusted 6-month improvements in treatment response, remission, and absenteeism versus practice as usual. Response/remission increased productivity overall.
CC increased clinical and work improvements in a nonresearch care setting. Insurers and employers should consider CC's work benefits in developing payment structures.
由于证据有限，协作式照护（CC）对常规非研究性初级保健环境中抑郁症及工作生产力的影响仍不明确。
这项前瞻性研究在多地点初级保健机构中，对165名接受抑郁症协作式照护的个体与211名接受常规治疗的患者的抑郁症及工作结果（如旷工、出勤主义）进行了检查。
与常规治疗相比，协作式照护预计在治疗反应、缓解及旷工方面经过调整后的6个月改善更大。反应/缓解总体上提高了生产力。
协作式照护在非研究性照护环境中提高了临床及工作方面的改善。保险公司和雇主在制定支付结构时应考虑协作式照护对工作的益处。
