Authors

  1. Shippee, Nathan D. PhD
  2. Shah, Nilay D. PhD
  3. Angstman, Kurt B. MD
  4. DeJesus, Ramona S. MD
  5. Wilkinson, John M. MD
  6. Bruce, Steven M. MD
  7. Williams, Mark D. MD

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.