Skip to main content

Table 2 PPC-RD Presence of systems at baseline and at one and two years post-implementation, mean ± SD (minimum, median, maximum)

From: The DIAMOND initiative: implementing collaborative care for depression in 75 primary care clinics

Scale

Baseline*

1 Year post-Imp’n*

2 Years post-Imp’n

Number of clinics

74

73

58

Overall

38.0 ± 12.1

62.0 ± 17.0

62.1 ± 17.3

(12.1, 36.3, 71.2)

(21.7, 62.0, 95.2)

(24.2, 60.5, 91.9)

DIAMOND

24.9 ± 16.3

60.6 ± 23.3

58.4 ± 22.8

(0.0, 22.6, 71.4)

(11.9, 61.9, 100)

(4.8, 57.1, 97.6)

Depression:**

24.4 ± 14.6

57.0 ± 21.0

55.9 ± 21.3

(0.0, 21.9, 71.9)

(18.5, 57.3,100)

(8.5, 54.3, 95.1)

  Health systems

18.9 ± 20.4

50.1 ± 26.0

49.1 ± 27.6

(0.0, 16.7, 91.7)

(0.0, 50.0, 100)

(0.0, 50.0, 100)

  Delivery system redesign

22.5 ± 14.4

57.7 ± 21.3

57.1 ± 21.8

(0.0, 18.7, 78.1)

(12.5, 56.3, 100)

(6.3, 56.3, 93.8)

  Clinical information system

15.5 ± 20.3

43.2 ± 27.8

42.5 ± 24.6

(0.0, 0.0, 66.7)

(0.0, 33.3, 100)

(0.0, 33.3, 100)

  Decision support

36.2 ± 24.5

69.6 ± 24.6

68.3 ± 25.7

(0.0, 40.0, 8.0)

(20.0, 70.0, 100)

(10.0, 70.0, 100)

  Self-management support

27.4 ± 20.0

57.7 ± 25.8

56.0 ± 26.6

(0.0, 27.2, 81.8)

(4.5, 59.1, 100)

(0.0, 54.5, 100)

Chronic Care Model:

44.7 ± 11.8

62.6 ± 15.4

64.0 ± 15.6

(15.8, 42.6, 75.6)

(20.7, 62.2, 98.8)

(34.1, 64.6, 92.7)

  Health systems

19.5 ± 21.1

49.0 ± 25.7

46.9 ± 27.4

(0.0, 10.0, 90.0)

(0.0, 50.0, 100)

(0.0, 50.0, 100)

  Delivery system redesign

33.6 ± 12.1

56.6 ± 17.8

57.8 ± 17.8

(7.7, 30.7, 73.0)

(19.2, 53.8, 100)

(11.5, 55.8, 92.3)

  Clinical information system

62.8 ± 17.2

71.5 ± 17.4

74.6 ± 20.5

(6.2, 62.5, 73.0)

(31.3, 75.0, 100)

(31.3, 75.0, 100)

  Decision support

69.4 ± 21.1

78.0 ± 20.1

79.7 ± 20.5

(5.5, 72.2, 100)

(0.0, 77.8, 100)

(22.2, 83.3, 100)

  Self-management support

28.9 ± 20.4

52.2 ± 24.2

54.4 ± 23.8

(0.0, 25.0, 75.0)

(0.0, 50.0, 100)

(0.0, 50.0, 100)

Priority to improve depression

5.8 ± 2.3

6.5 ± 1.6

6.5 ± 1.6

 

(1, 6, 10)

(3, 7, 10)

(2, 7, 10)

  1. *Mean score for all PPC-RD scales is on a 0–100 ± SD, so the scores above represent the percent of maximum obtainable systems in each category or scale.
  2. **These sub-scales don’t contain any items that do not address depression.
  3. All PPC-RD changes at year 1 are positive and statistically significant at P = <0.0001, except CCM decision support = 0.004.
  4. Priority to improve depression (self-rated on a 1 to 10 scale) increased at year 1 at P = 0.01.
  5. None of the values at 2 years post-implementation are different from those at year 1.