Effectiveness of care coordination and health counseling in advancing illness.

Objective: To evaluate the Advanced Illness Coordinated Care Program (hereafter AICCP) for effects on health delivery among patients and caregivers, quality of life, advance planning, and health service utilization.

Study Design: Prospective trial involving 532 patients and 185 caregivers. AICCP consisted of care coordination, health counseling, and education delivered in cooperation with physicians.

Long-term cost effects of collaborative care for late-life depression.

Objective: To determine the long-term effects on total healthcare costs of the Improving Mood: Promoting Access to Collaborative Treatment (IMPACT) program for late-life depression compared with usual care.

Study Design: Randomized controlled trial with enrollment from July 1999 through August 2001. The IMPACT trial, conducted in primary care practices in 8 delivery organizations across the United States, enrolled 1801 depressed primary care patients 60 years or older.

Caring for patients with dementia: how good is the quality of care? Results from three health systems.

Objectives: To describe the quality of dementia care within one U.S. metropolitan area and to investigate associations between variations in quality and patient, caregiver, and health system characteristics.

The effect of a disease management intervention on quality and outcomes of dementia care: a randomized, controlled trial.

Background: Adherence to dementia guidelines is poor despite evidence that some guideline recommendations can improve symptoms and delay institutionalization of patients.

Objective: To test the effectiveness of a dementia guideline-based disease management program on quality of care and outcomes for patients with dementia.

Design: Clinic-level, cluster randomized, controlled trial.

Depression treatment in a sample of 1,801 depressed older adults in primary care.

Objectives: To examine rates and predictors of lifetime and recent depression treatment in a sample of 1,801 depressed older primary care patients

Design: Cross sectional survey data collected from 1999 to 2001 as part of a treatment effectiveness trial.

Setting: Eighteen primary care clinics belonging to eight organizations in five states.

Participants: One thousand eight hundred one clinic users aged 60 and older who met diagnostic criteria for major depression or dysthymia.

Collaborative care management of late-life depression in the primary care setting: a randomized controlled trial.

Context: Few depressed older adults receive effective treatment in primary care settings.

Objective: To determine the effectiveness of the Improving Mood-Promoting Access to Collaborative Treatment (IMPACT) collaborative care management program for late-life depression.

Design: Randomized controlled trial with recruitment from July 1999 to August 2001.