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Incremental Benefit and Cost of Telephone Care Management and Telephone Psychotherapy for Depression in Primary Care

Incremental Benefit and Cost of Telephone Care Management and Telephone Psychotherapy for... ORIGINAL ARTICLE Incremental Benefit and Cost of Telephone Care Management and Telephone Psychotherapy for Depression in Primary Care Gregory E. Simon, MD, MPH; Evette J. Ludman, PhD; Carolyn M. Rutter, PhD Context: Effectiveness of organized depression care pro- Main Outcome Measures: Independent, blinded tele- grams is well established, but dissemination will de- phone assessments at 1, 3, 6, 9, 12, and 18 months in- pend on the balance of benefits and costs. cluded the Symptom Checklist 90 depression scale. Health services costs were measured using health care plan ac- Objectives: To estimate the incremental benefit, incre- counting records. mental cost, and net benefit of 2 depression care programs. Results: Over 24 months, telephone care management Design: Randomized trial comparing 2 interventions with led to a gain of 29 depression-free days (95% confidence continued usual care, conducted between November 2000 interval, −6 to 63) and a $676 increase in outpatient and June 2004. health care costs (95% confidence interval, $596 lower to $1974 higher). The incremental net benefit was nega- Setting: Seven primary care clinics of a prepaid health tive even if a day free of depression was valued up to $20. care plan in Washington. Care management plus psychotherapy http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Psychiatry American Medical Association

Incremental Benefit and Cost of Telephone Care Management and Telephone Psychotherapy for Depression in Primary Care

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References (44)

Publisher
American Medical Association
Copyright
Copyright 2009 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-622X
eISSN
2168-6238
DOI
10.1001/archgenpsychiatry.2009.123
pmid
19805698
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL ARTICLE Incremental Benefit and Cost of Telephone Care Management and Telephone Psychotherapy for Depression in Primary Care Gregory E. Simon, MD, MPH; Evette J. Ludman, PhD; Carolyn M. Rutter, PhD Context: Effectiveness of organized depression care pro- Main Outcome Measures: Independent, blinded tele- grams is well established, but dissemination will de- phone assessments at 1, 3, 6, 9, 12, and 18 months in- pend on the balance of benefits and costs. cluded the Symptom Checklist 90 depression scale. Health services costs were measured using health care plan ac- Objectives: To estimate the incremental benefit, incre- counting records. mental cost, and net benefit of 2 depression care programs. Results: Over 24 months, telephone care management Design: Randomized trial comparing 2 interventions with led to a gain of 29 depression-free days (95% confidence continued usual care, conducted between November 2000 interval, −6 to 63) and a $676 increase in outpatient and June 2004. health care costs (95% confidence interval, $596 lower to $1974 higher). The incremental net benefit was nega- Setting: Seven primary care clinics of a prepaid health tive even if a day free of depression was valued up to $20. care plan in Washington. Care management plus psychotherapy

Journal

JAMA Psychiatry – American Medical Association

Published: Oct 1, 2009

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