Abstract：
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<.05. CONCLUSIONS:Appropriate treatment for depression provided in community-based primary care substantially improves clinical and quality of life outcomes and employment.
journal_name
Health Serv Resjournal_title
Health services researchauthors
Schoenbaum M,Unützer J,McCaffrey D,Duan N,Sherbourne C,Wells KBdoi
10.1111/1475-6773.01086keywords:
subject
Has Abstractpub_date
2002-10-01 00:00:00pages
1145-58issue
5eissn
0017-9124issn
1475-6773journal_volume
37pub_type
临床试验,杂志文章,多中心研究,随机对照试验abstract：OBJECTIVE:To assess whether distance to services or diagnosis at a hospital-based medical center compared with a community clinic influences the receipt of psychotherapy versus pharmacotherapy for depression. DATA SOURCE:Veterans Affairs (VA) administrative data for 132,329 depressed veterans between October 2003 and ...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2010.01228.x
更新日期：2011-06-01 00:00:00
abstract：OBJECTIVE:To investigate factors affecting willingness to pay (WTP) for health insurance of older adults in a longitudinal setting in Germany. DATA SOURCES:Survey data from a cohort study in Saarland, Germany, from 2008-2010 and 2011-2014 (n1 = 3,124; n2 = 2,761) were used. STUDY DESIGN:Panel data were taken at two...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/1475-6773.12522
更新日期：2017-06-01 00:00:00
abstract：OBJECTIVE:To extend recent conceptual and methodological advances in disparities research to include the incorporation of genomic information in analyses of racial/ethnic disparities in health care and health outcomes. DATA SOURCES:Published literature on human genetic variation, the role of genetics in disease and re...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2012.01413.x
更新日期：2012-06-01 00:00:00
abstract：:A multitrait - multimethod design was employed to assess the construct validity of three commonly used methods for assessing patient compliance: physiological assessments (e.g., blood chemistries), ratings by health professionals, and patient self-reports. Subjects were patients receiving ambulatory hemodialysis treat...
journal_title：Health services research
pub_type： 杂志文章
doi：
更新日期：1984-04-01 00:00:00
abstract：OBJECTIVE:To compare the costs of physician-owned cardiac, orthopedic, and surgical single specialty hospitals with those of full-service hospital competitors. DATA SOURCES:The primary data sources are the Medicare Cost Reports for 1998-2004 and hospital inpatient discharge data for three of the states where single sp...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2008.00881.x
更新日期：2008-10-01 00:00:00
abstract：OBJECTIVE:To assess the impact of Enroll America's field outreach activities on the number of individuals enrolled in Marketplace coverage during the first open enrollment period. DATA SOURCES/STUDY SETTING:Marketplace enrollment for the initial open enrollment period linked with data on Enroll America's field activit...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/1475-6773.12630
更新日期：2018-02-01 00:00:00
abstract：OBJECTIVE:To investigate the feasibility, reliability, and validity of comprehensively assessing physician-level performance in ambulatory practice. DATA SOURCES/STUDY SETTING:Ambulatory-based general internists in 13 states participated in the assessment. STUDY DESIGN:We assessed physician-level performance, adjuste...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2010.01160.x
更新日期：2010-12-01 00:00:00
abstract：OBJECTIVE:To quantify the impact of multiyear utilization of preventive dental services on downstream dental care utilization and expenditures for children. DATA SOURCES/STUDY SETTING:We followed 0.93 million Medicaid-enrolled children who were 3-6 years old in 2005 from 2005 to 2011. We used Medicaid claims data of A...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/1475-6773.12811
更新日期：2018-10-01 00:00:00
abstract：OBJECTIVE:To assess hospital and geographic variability in 30-day mortality after surgery for CRC and examine the extent to which sociodemographic, area-level, clinical, tumor, treatment, and hospital characteristics were associated with increased likelihood of 30-day mortality in a population-based sample of older CRC...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/1475-6773.12171a
更新日期：2014-08-01 00:00:00
abstract：OBJECTIVE:To determine whether (a) quality in schizophrenia care varies by race/ethnicity and over time and (b) these patterns differ across counties within states. DATA SOURCES:Medicaid claims data from California, Florida, New York, and North Carolina during 2002-2008. STUDY DESIGN:We studied black, Latino, and whi...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/1475-6773.12296
更新日期：2015-10-01 00:00:00
abstract：OBJECTIVES:The Patient Activation Measure (PAM) quantifies the extent to which people are informed about and involved in their health care. Objectives were to determine the psychometric properties of PAM among multimorbid older adults and evaluate a theoretical, four-stage model of patient activation. Methods. A cross-...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2010.01210.x
更新日期：2011-04-01 00:00:00
abstract：OBJECTIVE:This commentary summarizes the methods and topics addressed in the special issue of HSR focused on linkage of United States Department of Veterans Affairs (VA) and non-VA datasets. The issue illustrates that researchers are increasingly linking diverse datasets as a valuable method for obtaining outcomes, tre...
journal_title：Health services research
pub_type：
doi：10.1111/1475-6773.13081
更新日期：2018-12-01 00:00:00
abstract：:The purpose of this study was to evaluate the applicability of a multiattribute utility model for measuring the severity of a patient's illness. A single medical problem (an analysis of the costs and benefits of different burn care systems) was used to test the model. Physicians estimated the relative importance of an...
journal_title：Health services research
pub_type： 杂志文章
doi：
更新日期：1975-04-01 00:00:00
abstract：OBJECTIVE:To examine the ways in which the costs of nonresidential mental health care depend on (1) the type of provider who initiates the treatment episode and (2) the level of cost sharing imposed on the patient. STUDY SETTING:The 1987 National Medical Expenditure Survey, a national probability sample of the U.S. ci...
journal_title：Health services research
pub_type： 杂志文章
doi：
更新日期：1998-12-01 00:00:00
abstract：OBJECTIVE:To compare medical care costs and utilization in a consumer-driven health plan (CDHP) to other health insurance plans. STUDY DESIGN:We examine claims and employee demographic data from one large employer that adopted a CDHP in 2001. A quasi-experimental pre-post design is used to assign employees to three co...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2004.00282.x
更新日期：2004-08-01 00:00:00
abstract：OBJECTIVES:To estimate the effect of Medicaid expansion under the Affordable Care Act (ACA) on the frequency and payment source for Emergency Department (ED) visits for dental care. STUDY DESIGN:Retrospective, quasi-experimental study. DATA SOURCES/STUDY SETTING:We used the State Emergency Department Database to comp...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/1475-6773.13261
更新日期：2020-06-01 00:00:00
abstract：OBJECTIVES:To examine the effects of changes in payment and risk adjustment on (1) the annual enrollment and switching behavior of Medicare Advantage (MA) beneficiaries, and (2) the relative costliness of MA enrollees and disenrollees. DATA:From 1999 through 2008 national Medicare claims data from the 5 percent longit...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/1475-6773.12006
更新日期：2013-06-01 00:00:00
abstract：OBJECTIVE:To test the hypothesis that health systems provide better care to patients with high needs by comparing differences in quality between system-affiliated and nonaffiliated physician organizations (POs) and to examine variability in quality across health systems. DATA SOURCES:2015 Medicare Data on Provider Pra...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/1475-6773.13570
更新日期：2020-12-01 00:00:00
abstract：OBJECTIVE:To examine the association between bodyweight status and provision of population-based prevention services. DATA SOURCES:The National Association of City and County Health Officials 2005 Profile survey data, linked with two cross-sections of the Behavioral Risk Factor Surveillance System (BRFSS) survey in 20...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2012.01447.x
更新日期：2013-04-01 00:00:00
abstract：:In this paper I propose a methodology for paying short-term general hospitals on the basis of prospective cost-based case-mix revenue budgets. A hospital's budget is divided into patient care--related components and other components. The patient care--related budget is based on the case mix of patients treated by the ...
journal_title：Health services research
pub_type： 杂志文章
doi：
更新日期：1980-07-01 00:00:00
abstract：OBJECTIVE:To examine the association between dialysis facility chain affiliation and patient mortality. STUDY SETTING:Medicare dialysis population. STUDY DESIGN:Data from the United States Renal Data System (USRDS) were used to identify 3,601 free-standing dialysis facilities and 34,914 Medicare patients' incidence t...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2010.01219.x
更新日期：2011-06-01 00:00:00
abstract：OBJECTIVE:To determine whether Massachusetts Health Reform improved health outcomes in uninsured patients with hyperlipidemia, diabetes, or hypertension. DATA SOURCE:Partners HealthCare Research Patient Data Registry (RPDR). STUDY DESIGN:We examined 1,463 patients with hyperlipidemia, diabetes, or hypertension who we...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/1475-6773.12196
更新日期：2014-12-01 00:00:00
abstract：OBJECTIVE:To review two indirect methods, geocoding and surname analysis, for estimating race/ethnicity as a means for health plans to assess disparities in care. STUDY DESIGN:Review of published articles and unpublished data on the use of geocoding and surname analyses. PRINCIPAL FINDINGS:Few published studies have ...
journal_title：Health services research
pub_type： 杂志文章,评审
doi：10.1111/j.1475-6773.2006.00551.x
更新日期：2006-08-01 00:00:00
abstract：OBJECTIVE:To investigate whether the interaction between individual race/ethnicity and community racial/ethnic composition is associated with health-related home care use among elderly persons in the United States. DATA SOURCES:A nationally representative sample of community-dwelling elders aged 65+ from the 2000 to 2...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2010.01135.x
更新日期：2010-10-01 00:00:00
abstract：BACKGROUND:The use of Medicaid data to study cancer-related outcomes would be highly desirable. However, the accuracy of Medicaid claims data in the identification of incident cases of breast cancer is unknown. OBJECTIVES:(1) To estimate the sensitivity of Medicaid claims data for case ascertainment of breast cancer, ...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/1475-6773.00155
更新日期：2003-06-01 00:00:00
abstract：OBJECTIVE:To examine whether physicians attend to gender prevalence data in diagnostic decision making for coronary heart disease (CHD) and to test the hypothesis that previously reported gender differences in CHD diagnostic certainty are due to discrimination arising from reliance on prevalence data ("statistical disc...
journal_title：Health services research
pub_type： 评论,杂志文章
doi：10.1111/j.1475-6773.2009.01022.x
更新日期：2009-12-01 00:00:00
abstract：OBJECTIVE:To determine whether Medicaid managed care is associated with lower hospitalization rates for ambulatory care sensitive conditions than Medicaid fee-for-service. We also explored whether there was a differential effect of Medicaid managed care by patient's race or ethnicity on the hospitalization rates for am...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2005.00340.x
更新日期：2005-02-01 00:00:00
abstract：OBJECTIVE:To assess the impact of substance abuse claims redaction on Medicare spending estimates for beneficiaries with serious mental illness. DATA SOURCES:The 2012 claims and unredacted beneficiary-level Medicare spending totals from CMS's Chronic Conditions Warehouse. STUDY DESIGN:We identified beneficiaries with...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/1475-6773.12528
更新日期：2017-06-01 00:00:00
abstract：OBJECTIVE:To assess costs, effectiveness, and cost-effectiveness of inhaled corticosteroids (ICS) augmenting bronchodilator treatment for chronic obstructive pulmonary disease (COPD). DATA SOURCES:Claims between 1997 and 2005 from a large managed care database. STUDY DESIGN:Individual-level, fixed-effects regression ...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2008.00879.x
更新日期：2008-12-01 00:00:00
abstract：:The National Long Term Care Demonstration (channeling) was designed to provide coordinated community-based long-term care services to those older persons at high risk of nursing home placement. A key component of the program was the process established to accomplish this targeting effort. In this article, the outreach...
journal_title：Health services research
pub_type： 杂志文章
doi：
更新日期：1988-04-01 00:00:00
