RESUMO
This paper evaluates whether externally designed, evidence-based interventions for improving care for depression can be locally implemented in managed care organizations. The interventions were carried out as part of a randomized trial involving forty-six practices within six diverse, nonacademic managed care plans. Based on evaluation of adherence to the intervention protocol, we determined that local practice leaders are able to implement predesigned interventions for improving depression care. Adherence rates for most key intervention activities were above 70 percent, and many were near 100 percent. Three intervention activities fell short of the goal of 70 percent implementation and should be targets for future improvement.
Assuntos
Transtorno Depressivo/terapia , Medicina Baseada em Evidências , Programas de Assistência Gerenciada , Equipe de Assistência ao Paciente , Transtorno Depressivo/diagnóstico , Humanos , Avaliação de Resultados em Cuidados de Saúde , Atenção Primária à Saúde , Garantia da Qualidade dos Cuidados de Saúde , Estados UnidosRESUMO
There is a shortage of data to inform policy debates about the quickly changing health care system. This paper describes Healthcare for Communities (HCC), a component of the Robert Wood Johnson Foundation's Health Tracking Initiative that was designed to fill this gap for alcohol, drug abuse, and mental health care. HCC bridges clinical perspectives and economic/policy research approaches, links data at market, service delivery, and individual levels, and features a household survey of nearly 9,600 individuals with an employer follow-back survey. Public use files will be available in late 1999.
