title: Impact of collaborative care for depression on clinical, functional, and work outcomes: a practice-based evaluation.
abstract: BACKGROUND
  The impact of collaborative care (CC) on depression and work productivity in routine, nonresearch primary care settings remains unclear due to limited evidence.
  
  
  METHODS
  This prospective study examined depression and work outcomes (eg, absenteeism, presenteeism) for 165 individuals in CC for depression versus 211 patients in practice as usual in a multisite primary care practice.
  
  
  RESULTS
  CC predicted greater adjusted 6-month improvements in treatment response, remission, and absenteeism versus practice as usual. Response/remission increased productivity overall.
  
  
  CONCLUSIONS
  CC increased clinical and work improvements in a nonresearch care setting. Insurers and employers should consider CC's work benefits in developing payment structures.
authors.affiliation: Division of Health Policy and Management, University of Minnesota, Minneapolis, 55455, USA. nshippee@umn.edu
authors.forename: Nathan D
authors.initials: ND
authors.lastname: Shippee
authors.forename: Nilay D
authors.initials: ND
authors.lastname: Shah
authors.forename: Kurt B
authors.initials: KB
authors.lastname: Angstman
authors.forename: Ramona S
authors.initials: RS
authors.lastname: DeJesus
authors.forename: John M
authors.initials: JM
authors.lastname: Wilkinson
authors.forename: Steven M
authors.initials: SM
authors.lastname: Bruce
authors.forename: Mark D
authors.initials: MD
authors.lastname: Williams
mesh_terms: D000041:Absenteeism; D000328:Adult; D003299:Cooperative Behavior; D003863:Depression / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008910:Minnesota; D017063:Outcome Assessment, Health Care; D011320:Primary Health Care; D011446:Prospective Studies