title: Patient-centered technological assessment and monitoring of depression for low-income patients.
abstract: Depression is a significant challenge for ambulatory care because it worsens health status and outcomes, increases health care utilizations and costs, and elevates suicide risk. An automatic telephonic assessment (ATA) system that links with tasks and alerts to providers may improve quality of depression care and increase provider productivity. We used ATA system in a trial to assess and monitor depressive symptoms of 444 safety-net primary care patients with diabetes. We assessed system properties, evaluated preliminary clinical outcomes, and estimated cost savings. The ATA system is feasible, reliable, valid, safe, and likely cost-effective for depression screening and monitoring for low-income primary care population.
authors: Epstein Department of Industrial and Systems Engineering, University of Southern California, Los Angeles (Drs Wu, Liu, and Hawkins and Mss Vidyanti and Ramirez); Los Angeles County Department of Health Services, Los Angeles, California (Drs Guterman and Gross-Schulman and Ms Sklaroff); Tseng College at California State University, Northridge (Ms Sklaroff); School of Social Work, University of Southern California, Los Angeles (Drs Ell and Wu); RAND Corporation, Santa Monica, California (Dr Wu) and David Geffen School of Medicine, University of California, Los Angeles (Dr Guterman).
authors: Shinyi
authors: S
authors: Wu
authors: Irene
authors: I
authors: Vidyanti
authors: Pai
authors: P
authors: Liu
authors: Caitlin
authors: C
authors: Hawkins
authors: Magaly
authors: M
authors: Ramirez
authors: Jeffrey
authors: J
authors: Guterman
authors: Sandra
authors: S
authors: Gross-Schulman
authors: Laura Myerchin
authors: LM
authors: Sklaroff
authors: Kathleen
authors: K
authors: Ell
mesh_terms: D000553:Ambulatory Care; D003863:Depression / Q000175:diagnosis / Q000191:economics / Q000628:therapy*; D003920:Diabetes Mellitus / Q000523:psychology*; D006801:Humans; D015141:Los Angeles; D008490:Medical Informatics / Q000191:economics; D018802:Patient-Centered Care; D011203:Poverty; D011320:Primary Health Care / Q000458:organization & administration; D013689:Telephone