Cost-effectiveness and Cost Offset of a Collaborative Care Intervention for Primary Care Patients With Panic Disorder

2002 ◽  
Vol 59 (12) ◽  
pp. 1098 ◽  
Author(s):  
Wayne J. Katon ◽  
Peter Roy-Byrne ◽  
Joan Russo ◽  
Deborah Cowley
Keyword(s):  
Primary Care ◽  
Cost Effectiveness ◽  
Panic Disorder ◽  
Collaborative Care ◽  
Cost Offset ◽  
Care Intervention ◽  
Primary Care Patients

Incremental cost-effectiveness of a collaborative care intervention for panic disorder

2006 ◽  
Vol 36 (3) ◽  
pp. 353-363 ◽  
Author(s):  
WAYNE KATON ◽  
JOAN RUSSO ◽  
CATHY SHERBOURNE ◽  
MURRAY B. STEIN ◽  
MICHELLE CRASKE ◽  
...  
Keyword(s):  
Primary Care ◽  
Cost Effectiveness ◽  
Panic Disorder ◽  
Incremental Cost ◽  
Usual Care ◽  
Moderate Increase ◽  
Patient Costs ◽  
Care Intervention ◽  
Life Years ◽  
Primary Care Patients

Background. Panic disorder is a prevalent, often disabling, disorder among primary-care patients, but there are large gaps in quality of treatment in primary care. This study describes the incremental cost-effectiveness of a combined cognitive behavioral therapy (CBT) and pharmacotherapy intervention for patients with panic disorder versus usual primary-care treatment.Method. This randomized control trial recruited 232 primary-care patients meeting DSM-IV criteria for panic disorder from March 2000 to March 2002 from six primary-care clinics from university-affiliated clinics at the University of Washington (Seattle) and University of California (Los Angeles and San Diego). Patients were randomly assigned to receive either treatment as usual or a combined CBT and pharmacotherapy intervention for panic disorder delivered in primary care by a mental health therapist. Intervention patients had up to six sessions of CBT modified for the primary-care setting in the first 12 weeks, and up to six telephone follow-ups over the next 9 months. The primary outcome variables were total out-patient costs, anxiety-free days (AFDs) and quality adjusted life-years (QALYs).Results. Relative to usual care, intervention patients experienced 60·4 [95% confidence interval (CI) 42·9–77·9] more AFDs over a 12-month period. Total incremental out-patient costs were $492 higher (95% CI $236–747) in intervention versus usual care patients with a cost per additional AFD of $8.40 (95% CI $2.80–14.0) and a cost per QALY ranging from $14158 (95% CI $6791–21496) to $24776 (95% CI $11885–37618). The cost per QALY estimate is well within the range of other commonly accepted medical interventions such as statin use and treatment of hypertension.Conclusions. The combined CBT and pharmacotherapy intervention was associated with a robust clinical improvement compared to usual care with a moderate increase in ambulatory costs.

Cost-Effectiveness of a Collaborative Care Program for Primary Care Patients With Persistent Depression

2001 ◽  
Vol 158 (10) ◽  
pp. 1638-1644 ◽  
Author(s):  
Gregory E. Simon ◽  
Wayne J. Katon ◽  
Michael VonKorff ◽  
Jürgen Unützer ◽  
Elizabeth H.B. Lin ◽  
...  
Keyword(s):  
Primary Care ◽  
Cost Effectiveness ◽  
Collaborative Care ◽  
Care Program ◽  
Primary Care Patients ◽  
Persistent Depression

Treating panic disorder in primary care: a collaborative care intervention

2002 ◽  
Vol 24 (3) ◽  
pp. 148-155 ◽  
Author(s):  
Michelle G. Craske ◽  
Peter Roy-Byrne ◽  
Murray B. Stein ◽  
Cathy Donald-Sherbourne ◽  
Alexander Bystritsky ◽  
...  
Keyword(s):  
Primary Care ◽  
Panic Disorder ◽  
Collaborative Care ◽  
Care Intervention

scholarly journals Long-term effects of a collaborative care intervention in persistently depressed primary care patients

2002 ◽  
Vol 17 (10) ◽  
pp. 741-748 ◽  
Author(s):  
Wayne Katon ◽  
Joan Russo ◽  
Michael Korff ◽  
Elizabeth Lin ◽  
Greg Simon ◽  
...  
Keyword(s):  
Primary Care ◽  
Collaborative Care ◽  
Long Term Effects ◽  
Care Intervention ◽  
Primary Care Patients

Psychology's Role in Collaborative-Care Treatment of Anxiety in Primary Care Patients Postdisaster

2014 ◽  
Author(s):  
Anne E. Ciccone ◽  
Erin T. Reuther ◽  
Howard J. Osofsky ◽  
Joy D. Osofsky
Keyword(s):  
Primary Care ◽  
Collaborative Care ◽  
Care Treatment ◽  
Primary Care Patients

scholarly journals Using RE-AIM to examine the potential public health impact of an integrated collaborative care intervention for weight and depression management in primary care: Results from the RAINBOW trial

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248339
Author(s):  
Megan A. Lewis ◽  
Laura K. Wagner ◽  
Lisa G. Rosas ◽  
Nan Lv ◽  
Elizabeth M. Venditti ◽  
...  
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Collaborative Care ◽  
Health Impact ◽  
Public Health Impact ◽  
Integrative Approach ◽  
Structured Interviews ◽  
Framework Analysis ◽  
Care Intervention ◽  
The Impact

Background An integrated collaborative care intervention was used to treat primary care patients with comorbid obesity and depression in a randomized clinical trial. To increase wider uptake and dissemination, information is needed on translational potential. Methods The trial collected longitudinal, qualitative data at baseline, 6 months (end of intensive treatment), 12 months (end of maintenance treatment), and 24 months (end of follow-up). Semi-structured interviews (n = 142) were conducted with 54 out of 409 randomly selected trial participants and 37 other stakeholders, such as recruitment staff, intervention staff, and clinicians. Using a Framework Analysis approach, we examined themes across time and stakeholder groups according to the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework. Results At baseline, participants and other stakeholders reported being skeptical of the collaborative care approach related to some RE-AIM dimensions. However, over time they indicated greater confidence regarding the potential for future public health impact. They also provided information on barriers and actionable information to enhance program reach, effectiveness, adoption, implementation, and maintenance. Conclusions RE-AIM provided a useful framework for understanding how to increase the impact of a collaborative and integrative approach for treating comorbid obesity and depression. It also demonstrates the utility of using the framework as a planning tool early in the evidence-generation pipeline.

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