tailieunhanh - báo cáo khoa học: " Implementing collaborative care for depression treatment in primary care: A cluster randomized evaluation of a quality improvement practice redesign"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Implementing collaborative care for depression treatment in primary care: A cluster randomized evaluation of a quality improvement practice redesign | Chaney et al. Implementation Science 2011 6 121 http content 6 1 121 Implementation Science IMPLEMENTATION SCIENCE RESEARCH Open Access Implementing collaborative care for depression treatment in primary care A cluster randomized evaluation of a quality improvement practice redesign prlmi md I- oư ic .i Pl iHcmctdin2 3 4 r - l .ìri-í-ũp I I I1 5 It 1 v cir i2 4 Rrslkaia6 K artiia I dd2 4 tumunu F Chaney Lisa V Rubenstein cnudn Fell Liu Elizabeth M IdllU Cory Bolkan Manin Lee Barbara Simon2 Andy Lanlo2 Bradford Felker1 7 and Jane Uman5 Abstract Background Mela-analyses show collaborative care models CCMs with nurse care management are effective for improving primary care for depression. This study aimed to develop CCM approaches that could be sustained and spread within Veterans Affairs VA . Evidence-based quality improvement EBQI uses QI approaches within a research clinical partnership to redesign care. The study used EBQI methods for CCM redesign tested the effectiveness of the locally adapted model as implemented and assessed the contextual factors shaping intervention effectiveness. Methods The study intervention is EBQI as applied to CCM implementation. The study uses a cluster randomized design as a formative evaluation tool to test and improve the effectiveness of the redesign process with seven intervention and three non-intervention VA primary care practices in five different states. The primary study outcome is patient antidepressant use. The context evaluation is descriptive and uses subgroup analysis. The primary context evaluation measure is naturalistic primary care clinician PCC predilection to adopt CCM. For the randomized evaluation trained telephone research interviewers enrolled consecutive primary care patients with major depression in the evaluation referred enrolled patients in intervention practices to the implemented CCM and re-surveyed at seven months. Results Interviewers enrolled 288 CCM site