Collaborative care for patients with depression and chronic illnesses.

ABSTRACT:

Background

Patients with depression and poorly controlled diabetes, coronary heart disease, or both have an increased risk of adverse outcomes and high health care costs. We conducted a study to determine whether coordinated care management of multiple conditions improves disease control in these patients.

Methods

We conducted a single-blind, randomized, controlled trial in 14 primary care clinics in an integrated health care system in Washington State, involving 214 participants with poorly controlled diabetes, coronary heart disease, or both and coexisting depression. Patients were randomly assigned to the usual-care group or to the intervention group, in which a medically supervised nurse, working with each patient's primary care physician, provided guideline-based, colla

SUBMITTER: Katon WJ 

PROVIDER: S-EPMC3312811 | biostudies-literature | 2010 Dec

REPOSITORIES: biostudies-literature