12-Month Cost Outcomes of Community Engagement Versus Technical Assistance for Depression Quality Improvement: A Partnered, Cluster Randomized, Comparative-Effectiveness Trial.
Ethn Dis
; 28(Suppl 2): 349-356, 2018.
Article
em En
| MEDLINE
| ID: mdl-30202187
ABSTRACT
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 OutcomeMeasures:
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.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Assistência Técnica ao Planejamento em Saúde
/
Serviços Comunitários de Saúde Mental
/
Participação da Comunidade
/
Depressão
/
Sistemas de Apoio Psicossocial
Tipo de estudo:
Clinical_trials
/
Health_economic_evaluation
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article