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12-Month Cost Outcomes of Community Engagement Versus Technical Assistance for Depression Quality Improvement: A Partnered, Cluster Randomized, Comparative-Effectiveness Trial.
Chung, Bowen; Ong, Michael; Ettner, Susan L; Jones, Felica; Gilmore, James; McCreary, Michael; Ngo, Victoria K; Sherbourne, Cathy; Tang, Lingqi; Dixon, Elizabeth; Koegel, Paul; Miranda, Jeanne; Wells, Kenneth B.
Afiliación
  • Chung B; Department of Psychiatry, Harbor-UCLA Medical Center/Los Angeles Biomedical Research Institute, Los Angeles, CA.
  • Ong M; Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Bio-behavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.
  • Ettner SL; RAND Corporation, Los Angeles, CA.
  • Jones F; Division of General Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA.
  • Gilmore J; Greater Los Angeles VA Health care System, Los Angeles, CA.
  • McCreary M; Division of General Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA.
  • Ngo VK; Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA.
  • Sherbourne C; Healthy African American Families II, Los Angeles, CA.
  • Tang L; Behavioral Health Services, Los Angeles, CA.
  • Dixon E; Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Bio-behavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.
  • Koegel P; RAND Corporation, Los Angeles, CA.
  • Miranda J; RAND Corporation, Los Angeles, CA.
  • Wells KB; Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Bio-behavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA.
Ethn Dis ; 28(Suppl 2): 349-356, 2018.
Article en En | MEDLINE | ID: mdl-30202187
Objective: To compare community engagement and planning (CEP) for coalition support to implement depression quality improvement (QI) to resources for services (RS) effects on service-use costs over a 12-month period. Design: Matched health and community programs (N=93) were cluster-randomized within communities to CEP or RS. Setting: Two Los Angeles communities. Participants: Adults (N=1,013) with depressive symptoms (Patient Health Questionnaire (PHQ-8) ≥10); 85% African American and Latino. Interventions: CEP and RS to support programs in depression QI. Main Outcome Measures: Intervention training and service-use costs over 12 months. Results: CEP planning and training costs were almost 3 times higher than RS, largely due to greater CEP provider training participation vs RS, with no significant differences in 12-month service-use costs. Conclusions: Compared with RS, CEP had higher planning and training costs with similar service-use costs.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Asistencia Técnica a la Planificación en Salud / Servicios Comunitarios de Salud Mental / Participación de la Comunidad / Depresión / Sistemas de Apoyo Psicosocial Tipo de estudio: Clinical_trials / Health_economic_evaluation Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Ethn Dis Asunto de la revista: CIENCIAS SOCIAIS / SAUDE PUBLICA Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Asistencia Técnica a la Planificación en Salud / Servicios Comunitarios de Salud Mental / Participación de la Comunidad / Depresión / Sistemas de Apoyo Psicosocial Tipo de estudio: Clinical_trials / Health_economic_evaluation Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Ethn Dis Asunto de la revista: CIENCIAS SOCIAIS / SAUDE PUBLICA Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos