The relationship of depression treatment quality indicators to employee absenteeism.
Although employers commonly review administrative database indicators to assess depression treatment quality, they do not know whether these indicators predict relevant outcomes like absenteeism. In 230 employed patients in five health plans, we tested how administrative database-derived indicators for antidepressant medication and psychotherapy provided during the first 6 months of a new depression treatment episode predicted patient-reported absenteeism change over 12 months. The medication indicator was not significantly associated with absenteeism change over 12 months (p = .64); however, the psychotherapy indicator was significantly associated with an average 26.1% improvement in absenteeism over 12 months (p < .05). If subsequent studies confirm the results we report, quality monitoring initiatives interested in employer-relevant indicators of depression treatment quality should examine administrative database indicators of psychotherapy.
Rost
Kathryn
K
Center for Studies in Family Medicine, Department of Family Medicine, University of Colorado Health Sciences Center, Aurora, Colorado, USA. Kathryn.Rost@UCHSC.edu
Fortney
John
J
Coyne
James
J
D000041:Absenteeism; D000328:Adult; D002391:Catchment Area, Health; D003865:Major Depressive Disorder / Q000453:epidemiology* / Q000628:therapy*; D004651:Employment / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000592:standards* / Q000706:statistics & numerical data*; D017063:Outcome Assessment, Health Care; D011613:Psychotherapy / Q000379:methods / Q000592:standards; D019984:Quality Indicators, Health Care; D014481:United States / Q000453:epidemiology