Sustainability of collaborative care management for depression in primary care settings with academic affiliations across New York State.

ABSTRACT:

Background

In a large statewide initiative, New York State implemented collaborative care (CC) from 2012 to 2014 in 32 primary care settings where residents were trained and supported its sustainability through payment reforms implemented in 2015. Twenty-six clinics entered the sustainability phase and six opted out, providing an opportunity to examine factors predicting continued CC participation and fidelity.

Methods

We used descriptive statistics to assess implementation metrics in sustaining vs. opt-out clinics and trends in implementation fidelity 1 and 2 years into the sustainability phase among sustaining clinics. To characterize barriers and facilitators, we conducted 31 semi-structured interviews with psychiatrists, clinic administrators, primary care physicians, an

SUBMITTER: Moise N 

PROVIDER: S-EPMC6186053 | biostudies-literature | 2018 Oct

REPOSITORIES: biostudies-literature