Sentences with phrase «quality improvement intervention»

Analyzing trends allows for the assessment of the effect of quality improvement interventions.

Intervention Usual care (n = 207) or 6 - month quality improvement intervention (n = 211) including expert leader teams at each site, care managers who supported primary care clinicians in evaluating and managing patients» depression, training for care managers in manualized cognitive - behavior therapy for depression, and patient and clinician choice regarding treatment modality.

Because evidence supporting depression treatments is less established for adolescents than for adults, it is noteworthy that similarly designed quality improvement interventions are effective in youth, adults, and elderly persons.52, 63

Because primary care clinician training in care of depression was common to all patients, the YPIC study tests the marginal benefit of the full quality improvement intervention vs usual care «enriched» by primary care clinician education.

«The findings from the study support the idea that clinicians are influenced by professional and social factors in patient care, and unlike some quality improvement interventions based upon financial incentives, we found no evidence that improvements were driven by changing documentation practices.

Effectiveness of a quality improvement intervention for adolescent depression in primary care clinics: a randomized controlled trial.

The Youth Partners - in - Care (YPIC) study is a multisite randomized effectiveness trial comparing the quality improvement intervention with usual care.

After randomization, when the quality improvement intervention began, primary care clinicians were informed that the quality improvement patient was in the study.

Objective To evaluate the effectiveness of a quality improvement intervention aimed at increasing access to evidence - based treatments for depression (particularly cognitive - behavior therapy and antidepressant medication), relative to usual care, among adolescents in primary care practices.

Effectiveness of a Quality Improvement Intervention for Adolescent Depression in Primary Care ClinicsA Randomized Controlled Trial.

Unlike adult studies in which medication rates were higher and increased with quality improvement interventions, 52,63 our intervention did not increase medication rates, despite intervention support of medication treatment.

These advances have had limited impact on community care, with current data indicating high unmet need28 - 30 and poorer quality and outcomes for community treatment compared with efficacy studies.31, 32 We address these gaps by evaluating a quality improvement intervention aimed at improving access to evidence - based treatments for depression (particularly CBT and antidepressant medication) in primary care settings.

At 6 - month follow - up, patients receiving the quality improvement intervention reported significantly higher rates of mental health care than did those receiving usual care (32 % vs 17 %; OR, 2.8; 95 % CI, 1.6 to 4.9; P <.001)(Table 2).