The Chronic Disease Score is a comorbidity measure obtained from a weighted sum of the use of medications from 30 different classes (Von Korff
, Wagner, and Saunders 1992).
The Community Activation Survey involved a cohort of representatives of key community organizations identified through reputational sampling methods (Wickizer, Von Korff
, Cheadle, et al.
Williams, Jr, MD, MHS; Kathryn Rost, PhD; James Barrett, MD; and Michael Von Korff
Collaborative Care enriches the depth of the encounter, and (anecdotally) contributes positively to patient satisfaction (Bray & Rogers, 1997; Von Korff
& Myers, 1987).
(18) Bearing these limitations in mind, the findings of Coste and colleagues (20) and Van Korff
and coworkers (26) of continued pain and functional disability at follow-ups of 90 days and 1 year, respectively, are very similar to our own.
While in some settings the disease management program is a coordinated program between a primary care practice and a separate mental health agency, the studies on which the effort is modeled (Katon, 1995; Katon, von Korff
, Lin, et al., 1995) were fully integrated and the overall effort is in the direction of integration.
[3.] Robinson P, Katon W, Von Korff
M, Bush T, Simon G, Lin E, Walker E.
[2.] Katon W, Von Korff
M, Lin E, Walker E, Simon G, Bush T, et al.
Not only do patients frequently want their primary-care physician to treat their problem, even though they are aware that it is depression, anxiety, marital, or family problems (Bray & Rogers, 1997), but also 50-70% of patients with mental health problems are seen exclusively in primary-care settings with no referral elsewhere (Katon, Von Korff
, Lin, et al., 1995; Marrow, Regier, Rae, et al., 1993).
Population focused care of chronic illness requires several organization-wide interventions including provider training, patient education, promotion of self-management, decision support from experts, evidenced-based approaches, gaining community support, and high availability of clinical information (Katon, Von Korff
, Lin, et al., 1997; Wagner, Austin, & Von Korff
Structural changes in integrating mental health professionals into primary care delivery (Katon, Robinson, Von Korff
et al., 1996).
(23.)Lin EHB, Von Korff
M, Katon W, Bush T, Simon GE, Walker E, Robinson P.