Collaborative depression care among Latino patients in diabetes disease management, Los Angeles, 2011-2013.

摘要: INTRODUCTION The prevalence of comorbid diabetes and depression is high, especially in low-income Hispanic or Latino patients. complex mix factors safety-net care systems impedes the adoption evidence-based collaborative results persistent disparities outcomes. Diabetes-Depression Care-Management Adoption Trial examined whether model an effective approach clinics to improve clinical outcomes diabetes. METHODS A sample 964 patients with from 5 were enrolled a quasi-experimental study that included 2 arms: usual care, which primary medical providers staff translated adopted care; supportive disease management program delivered protocol-driven care. Because design established individual treatment centers as separate arms, we calculated propensity scores interpreted probability assignment conditional on observed baseline characteristics. Primary 7 measures. Regression models score covariate adjustment applied analyze 6-month RESULTS Compared significantly decreased Patient Health Questionnaire-9 scores, reduced number moderate severe depression, improved remission, increased satisfaction for emotional problems, functional impairment. CONCLUSION Implementing scalable patient among system.