Clinical Care and Patient Experience of Care Outcomes across Degree of Implementation
| Overall | Fully Implemented | Partially Implemented | Did Not Implement | |
|---|---|---|---|---|
| Process of Care Outcomes* | ||||
| PHQ-9 screens, OR | 1.06‡ | 1.10‡ | 1.01 | 1.11‡ |
| GAD-7 screens, OR | 1.01 | 1.01 | 0.85§ | 1.03§ |
| Intermediate Clinical Outcomes* | ||||
| PhQ-9 scores, β | 0.16 | -0.64 | 0.23 | 1.98‡ |
| GAD-7 scores, β | 1.38 | 2.59 | 4.42 | −4.55‖ |
| Patient Experiences of Care†, mean (SD) | ||||
| Satisfaction with care | 0.06 (0.07) | 0.09 (0.11) | 0.08 (0.12) | −0.03 (0.08) |
| Care communication with PCP | 0.15 (0.08) | −0.02 (0.13) | 0.39§ (0.13) | 0.04 (0.13) |
| Care communication with BHC | 0.06 (0.13) | 0.10 (0.24) | 0.12 (0.23) | −0.10 (0.20) |
| Integration of care | 0.20§ (0.07) | 0.44‡ (0.13) | 0.09 (0.13) | 0.10 (0.13) |
| Care coordination | 0.06 (0.04) | 0.06 (0.06) | 0.11 (0.06) | −0.02 (0.07) |
BHC, behavioral health clinician; GAD-7, Generalized Anxiety Disorder-7; PCP, primary care provider; PHQ-9, Patient Health Questionnaire-9; OR, odds ratio; SD, standard deviation.
↵* Pre/post change among intervention clinics compared to control clinics.
↵† Pre/post change among intervention clinics.
↵‡ P value <.001.
↵§ P value <.01.
↵‖ P value <.05.