Cost-effectiveness of on-site versus off-site collaborative care for depression in rural FQHCs.

ABSTRACT:

Objective

Collaborative care for depression in primary care settings is effective and cost-effective. However, there is minimal evidence to support the choice of on-site versus off-site models. This study examined the cost-effectiveness of on-site practice-based collaborative care (PBCC) versus off-site telemedicine-based collaborative care (TBCC) for depression in federally qualified health centers (FQHCs).

Methods

In a multisite, randomized, pragmatic comparative cost-effectiveness trial, 19,285 patients were screened for depression, 2,863 (14.8%) screened positive, and 364 were enrolled. Telephone interview data were collected at baseline and at six, 12, and 18 months. Base case analysis used Arkansas FQHC health care costs, and secondary analysis used national cost estim

SUBMITTER: Pyne JM 

PROVIDER: S-EPMC5968353 | biostudies-literature | 2015 May

REPOSITORIES: biostudies-literature