Relationship between satisfaction, patient-centered care, adherence and outcomes among patients in a collaborative care trial for depression.
Collaborative care is known to improve satisfaction, patient-centered care, adherence, and depression symptom severity. However, associations among these outcomes have not been examined. Outcomes were measured at 6 months for 360 primary care patients with depression enrolled in a randomized trial of collaborative care. Main effects and mediation effects were examined using logistic regression analyses. Collaborative care significantly improved both satisfaction and patient-centered care. Patient-centered care did not mediate the positive effect that collaborative care had on satisfaction. Improvements in symptom severity partially mediated collaborative care's effect on satisfaction. Satisfaction did not mediate collaborative care's positive effect on antidepressant adherence.
VA Health Services Research and Development (HSR&D), Center for Mental Health and Outcomes Research, Central Arkansas Veterans Healthcare System, North Little Rock, AR, USA. tdeen@uams.edu
Tisha L
TL
Deen
John C
JC
Fortney
Jeffrey M
JM
Pyne
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003299:Cooperative Behavior; D003866:Depressive Disorder / Q000188:drug therapy / Q000628:therapy*; D006787:Hospitals, Veterans; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D018802:Patient-Centered Care / Q000592:standards*; D011787:Quality of Health Care; D012424:Rural Population; D017216:Telemedicine; D016896:Treatment Outcome; D014481:United States