Effect of collaborative care intervention on productivity losses among people with comorbid common mental disorders and cardiovascular disease in rural Karnataka
Introduction: Common mental disorders (CMD) and cardiovascular diseases (CVD), common health problems among patients seeking primary healthcare, contribute to high economic productivity losses. Collaborative care programs for CMDs and CVDs have shown improvement in clinical outcomes for both conditi...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of Family Medicine and Primary Care |
| Subjects: | |
| Online Access: | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2023;volume=12;issue=9;spage=1917;epage=1922;aulast=Fathima |
| _version_ | 1797645671623294976 |
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| author | Farah Naaz Fathima Sumithra Selvam Elsa Heylen Krishnamachari Srinivasan Maria Ekstrand |
| author_facet | Farah Naaz Fathima Sumithra Selvam Elsa Heylen Krishnamachari Srinivasan Maria Ekstrand |
| author_sort | Farah Naaz Fathima |
| collection | DOAJ |
| description | Introduction: Common mental disorders (CMD) and cardiovascular diseases (CVD), common health problems among patients seeking primary healthcare, contribute to high economic productivity losses. Collaborative care programs for CMDs and CVDs have shown improvement in clinical outcomes for both conditions; however, data on productivity outcomes are scarce. Objective: Effect of integrated collaborative care on productivity among people with comorbid CMD and CVD in rural Karnataka primary health clinics. Methods: Participants were recruited within a randomized trial in rural South India, where patients received either collaborative or enhanced standard care. In this substudy, 303 participants were followed for 3 months and assessed with the iMTA Productivity Cost Questionnaire (iPCQ). Results: We found a reduction in the proportion of individuals reporting productivity loss at 3 months (66%) compared to baseline (76%; P = 0.002). Productivity losses decreased from INR 30.3 per person per day at baseline to 17.7 at 3 months. Reductions were similar in the two treatment conditions. Conclusion: Medical intervention may foster reduced productivity losses among patients with CMD and CVD. Collaborative care did not translate into higher reductions in productivity losses than “enhanced standard care.” |
| first_indexed | 2024-03-11T14:50:13Z |
| format | Article |
| id | doaj.art-d264beff5135476ba0d97aaffb7df410 |
| institution | Directory Open Access Journal |
| issn | 2249-4863 |
| language | English |
| last_indexed | 2024-03-11T14:50:13Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Family Medicine and Primary Care |
| spelling | doaj.art-d264beff5135476ba0d97aaffb7df4102023-10-30T09:46:32ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632023-01-011291917192210.4103/jfmpc.jfmpc_2296_22Effect of collaborative care intervention on productivity losses among people with comorbid common mental disorders and cardiovascular disease in rural KarnatakaFarah Naaz FathimaSumithra SelvamElsa HeylenKrishnamachari SrinivasanMaria EkstrandIntroduction: Common mental disorders (CMD) and cardiovascular diseases (CVD), common health problems among patients seeking primary healthcare, contribute to high economic productivity losses. Collaborative care programs for CMDs and CVDs have shown improvement in clinical outcomes for both conditions; however, data on productivity outcomes are scarce. Objective: Effect of integrated collaborative care on productivity among people with comorbid CMD and CVD in rural Karnataka primary health clinics. Methods: Participants were recruited within a randomized trial in rural South India, where patients received either collaborative or enhanced standard care. In this substudy, 303 participants were followed for 3 months and assessed with the iMTA Productivity Cost Questionnaire (iPCQ). Results: We found a reduction in the proportion of individuals reporting productivity loss at 3 months (66%) compared to baseline (76%; P = 0.002). Productivity losses decreased from INR 30.3 per person per day at baseline to 17.7 at 3 months. Reductions were similar in the two treatment conditions. Conclusion: Medical intervention may foster reduced productivity losses among patients with CMD and CVD. Collaborative care did not translate into higher reductions in productivity losses than “enhanced standard care.”http://www.jfmpc.com/article.asp?issn=2249-4863;year=2023;volume=12;issue=9;spage=1917;epage=1922;aulast=Fathimacollaborative carecommon mental diseaseproductivity lossrural |
| spellingShingle | Farah Naaz Fathima Sumithra Selvam Elsa Heylen Krishnamachari Srinivasan Maria Ekstrand Effect of collaborative care intervention on productivity losses among people with comorbid common mental disorders and cardiovascular disease in rural Karnataka Journal of Family Medicine and Primary Care collaborative care common mental disease productivity loss rural |
| title | Effect of collaborative care intervention on productivity losses among people with comorbid common mental disorders and cardiovascular disease in rural Karnataka |
| title_full | Effect of collaborative care intervention on productivity losses among people with comorbid common mental disorders and cardiovascular disease in rural Karnataka |
| title_fullStr | Effect of collaborative care intervention on productivity losses among people with comorbid common mental disorders and cardiovascular disease in rural Karnataka |
| title_full_unstemmed | Effect of collaborative care intervention on productivity losses among people with comorbid common mental disorders and cardiovascular disease in rural Karnataka |
| title_short | Effect of collaborative care intervention on productivity losses among people with comorbid common mental disorders and cardiovascular disease in rural Karnataka |
| title_sort | effect of collaborative care intervention on productivity losses among people with comorbid common mental disorders and cardiovascular disease in rural karnataka |
| topic | collaborative care common mental disease productivity loss rural |
| url | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2023;volume=12;issue=9;spage=1917;epage=1922;aulast=Fathima |
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