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Table 3 Early adopter clinician effects on adequacy of care manager follow-up in EBQI-CCM sites

From: Implementing collaborative care for depression treatment in primary care: A cluster randomized evaluation of a quality improvement practice redesign

Patients' primary care clinicians' history of early adoption of collaborative care management (CCM) EBQI-CCM site patients enrolled in the randomized evaluation and recorded in the care manager quality improvement registry*, **
(N = 241)
  Patient received adequate care manager follow-up Patient did not receive adequate care manager follow-up Total
  N (%) N (%) N (%)
Evaluation-enrolled patients of 21 EBQI-CCM site clinicians with low predilection to adopt CCM (made no referrals)
(34.4% of study clinicians)
35 (47.9) 38 (52.1) 73 (100)
Evaluation-enrolled patients of 17 EBQI-CCM slow CCM adopter clinicians (made 1 to 4 referrals) (27.9% of study clinicians) 36 (64.3) 20 (35.7) 56 (100)
Evaluation-enrolled patients of 11 early CCM adopter clinicians (made 5 to 9 referrals) (18.0% of study clinicians) 42 (77.8) 12 (22.2) 54 (100)
Evaluation-enrolled patients of 12 habitual user clinicians (made 10 or more referrals) (19.7% of study clinicians) 41 (70.7) 17 (29.3) 58 (100)
Total (evaluation-enrolled patients of all 61 clinicians) 154 (63.9) 87 (36.1) 241 (100)
  1. *The quality improvement registry includes both a) patients enrolled in the randomized evaluation and referred to CCM by researchers and b) naturalistically referred patients. The registry records all visits for patients experiencing CCM. Only patients enrolled in the randomized evaluation who also are listed in the registry (and thus have data on CCM visits) are included in these analyses.
  2. ** p = 0.003 comparing adequate care manager follow-up by type of clinician, with the difference between clinicians with low predilection to adopt CCM and all others showing the greatest difference (Scheffe test)