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Discovering a New Standard for Treating Depressive Symptoms

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Title:Discovering a New Standard for Treating Depressive Symptoms
Authors:Aumer, Katherine V.
Erickson, Michael A.
Antonelli, Richard
Date Issued:18 May 2022
Publisher:Massachusetts Medical Society
Relation:https://doi.org/10.1056/CAT.22.0064
Abstract:Integrated Health Hawaii established evidence-based standards for an engagement-focused care coordination model to treat depression that can contribute significantly to alleviating symptoms and preventing more costly care. Attempting to reach a patient at least seven times resulted in the greatest improvement in outcome measures. Depression is currently ranked as the third leading contributor to global disease burden, and it is estimated that it will be number one by 2030. Care coordination models have been shown to help improve patient outcomes and reduce costs. Yet evidence-based standards for successfully contacting and engaging patients through care coordination are lacking. This study examines Integrated Health Hawaii’s engagement-focused care coordination model to provide evidence for the most effective utilization of care coordination with those suffering from depression in a diverse population. The current standard of making a “good effort,” three attempts, may only be reaching 60\% of patients. To reach at least 75\% of patients, seven attempts should be made; and to reach 95\% of patients, 10 attempts should be made. These attempts can be made within a 2-week period, and the outcomes prevented are substantial in terms of alleviating symptoms, reducing Patient Health Questionnaire-9 scores, and preventing more costly care, including ER visits and self-harm.
URI:http://hdl.handle.net/10790/6955
DOI:10.1056/CAT.22.0064
Rights:Attribution-NonCommercial-NoDerivs 3.0 United States
http://creativecommons.org/licenses/by-nc-nd/3.0/us/
Journal:NEJM Catalyst Innovations in Care Delivery
Volume:3
Issue/Number:6
Appears in Collections: Aumer, Katherine V.


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