Trial reportPsychiatric services (Washington, D.C.)2015
Cost-effectiveness of on-site versus off-site collaborative care for depression in rural FQHCs.
Trial report in Psychiatric services (Washington, D.C.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- The association between team-based model of care characteristics and patient outcomes in community health centres: a systematic review.BMC primary care · 2026Pooled it
- Telehealth-guided provider-to-provider communication to improve rural health: A systematic review.Journal of telemedicine and telecare · 2024Pooled it
- Telemedicine Implementation for Safety Net Populations: A Systematic Review.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024Pooled it
- A Systematic Review of the Use of Telepsychiatry in Depression.Community mental health journal · 2021Pooled it
- Do Patient-Centered Medical Homes Improve Health Behaviors, Outcomes, and Experiences of Low-Income Patients? A Systematic Review and Meta-Analysis.Health services research · 2018Pooled it
- Cost-effectiveness of Telephone-Delivered Education and Behavioral Skills Intervention for African American Adults with Diabetes.Ethnicity & disease · 2021Trial
- A Randomized Trial of Off-Site Collaborative Care for Depression in Chronic Hepatitis C Virus.Health services research · 2018Trial
- Patient-centered primary care for adults at high risk for AUDs: the Choosing Healthier Drinking Options In primary CarE (CHOICE) trial.Addiction science & clinical practice · 2017Trial
- Conjoint Analysis of Telemedicine Preferences for Hypertension Management Among Adult Patients.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024Article
- Article
- Pediatric behavioral telehealth in the age of COVID-19: Brief evidence review and practice considerations.Current problems in pediatric and adolescent health care · 2021Review
- Cost-Effectiveness of Technology-Assisted Case Management in Low-Income, Rural Adults with Type 2 Diabetes.Health equity · 2021Article
- Telepsychiatry and Outpatient Department Services.Indian journal of psychological medicine · 2020Article
- Early use of telepsychotherapy in resident continuity clinics-our experience and a review of literature.mHealth · 2020Review
- Best Practices in Tele-Teaming: Managing Virtual Teams in the Delivery of Care in Telepsychiatry.Current psychiatry reports · 2019Review
- Integrated Care for Depression in Older Primary Care Patients.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2018Review
- Integrated Care: A Disruptive Innovation for Extending Psychiatric Expertise to Primary Care Practices.Mayo Clinic proceedings. Innovations, quality & outcomes · 2018Review
- Telepsychiatry in Integrated Care Settings.Focus (American Psychiatric Publishing) · 2017Review
- Review of key telepsychiatry outcomes.World journal of psychiatry · 2016Article
- Telepsychiatry as an Economically Better Model for Reaching the Unreached: A Retrospective Report from South India.Indian journal of psychological medicineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectiveCollaborative care for depression in primary care settings is effective and cost-effective. However, there is minimal evidence to support the choice of on-site versus off-site models. This study examined the cost-effectiveness of on-site practice-based collaborative care (PBCC) versus off-site telemedicine-based collaborative care (TBCC) for depression in federally qualified health centers (FQHCs).
methodsIn a multisite, randomized, pragmatic comparative cost-effectiveness trial, 19,285 patients were screened for depression, 2,863 (14.8%) screened positive, and 364 were enrolled. Telephone interview data were collected at baseline and at six, 12, and 18 months. Base case analysis used Arkansas FQHC health care costs, and secondary analysis used national cost estimates. Effectiveness measures were depression-free days and quality-adjusted life years (QALYs) derived from depression-free days, the 12-Item Short-Form Survey, and the Quality of Well-Being (QWB) Scale. Nonparametric bootstrap with replacement methods were used to generate an empirical joint distribution of incremental costs and QALYs and acceptability curves.
resultsThe TBCC intervention resulted in more depression-free days and QALYs but at a greater cost than the PBCC intervention. The disease-specific (depression-free day) and generic (QALY) incremental cost-effectiveness ratios (ICERs) were below their respective ICER thresholds for implementation, suggesting that the TBCC intervention was more cost effective than the PBCC intervention.
conclusionsThese results support the cost-effectiveness of TBCC in medically underserved primary care settings. Information about whether to insource (make) or outsource (buy) depression care management is important, given the current interest in patient-centered medical homes, value-based purchasing, and bundled payments for depression care.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.