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Erschienen in: Journal of General Internal Medicine 7/2013

01.07.2013 | Original Research

Depression and Risk of Hospitalizations for Ambulatory Care-Sensitive Conditions in Patients with Diabetes

verfasst von: Dimitry S. Davydow, MD MPH, Wayne J. Katon, MD, Elizabeth H. B. Lin, MD, Paul Ciechanowski, MD, MPH, Evette Ludman, PhD, Malia Oliver, BA, Michael Von Korff, ScD

Erschienen in: Journal of General Internal Medicine | Ausgabe 7/2013

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ABSTRACT

BACKGROUND

Hospitalizations for ambulatory care-sensitive conditions (ACSCs), conditions that should not require inpatient treatment if timely and appropriate ambulatory care is provided, may be an important contributor to rising healthcare costs and public health burden.

OBJECTIVE

To examine if probable major depression is independently associated with hospitalization for an ACSC in patients with diabetes.

DESIGN

Secondary analysis of data from a prospective cohort study.

PARTICIPANTS

Population-based cohort of 4,128 patients with diabetes ≥ 18 years old seen in primary care, who were enrolled between 2000 and 2002 and followed for 5 years (through 2007).

MAIN MEASURES

Depressive symptoms were assessed with the Patient Health Questionnaire-9. Outcomes of interest included time to initial hospitalization for an ACSC and total number of ACSC-related hospitalizations. We used Cox proportional hazards regression models to ascertain an association between probable major depression and time to ACSC-related hospitalization, as well as Poisson regression for models examining probable major depression and number of ACSC-related hospitalizations.

KEY RESULTS

Patients’ mean age at study enrollment was 63.4 years (Standard Deviation: 13.4 years). Over the 5-year follow-up period, 981 patients in the study were hospitalized a total of 1,721 times for an ACSC, comprising 45.1 % of all hospitalizations. After adjusting for baseline demographic, clinical and health-risk behavioral factors, probable major depression was associated with initial ACSC-related hospitalization (Hazard Ratio: 1.41, 95 % Confidence Interval [95 % CI]: 1.15, 1.72) and number of ACSC-related hospitalizations (Relative Risk: 1.37, 95 % CI: 1.12, 1.68).

CONCLUSIONS

Probable major depression in patients with diabetes is independently associated with hospitalization for an ACSC. Additional research is warranted to ascertain if effective interventions for depression in patients with diabetes could reduce the risk of hospitalizations for ACSCs and their associated adverse outcomes.
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Literatur
1.
Zurück zum Zitat Boyle JP, Thompson TJ, Gregg EW, Barker LE, Williamson DF. Projection of the year 2050 burden of diabetes in the US population: dynamic modeling of incidence, mortality and prediabetes prevalence. Popul Health Metrics. 2010;8:29.CrossRef Boyle JP, Thompson TJ, Gregg EW, Barker LE, Williamson DF. Projection of the year 2050 burden of diabetes in the US population: dynamic modeling of incidence, mortality and prediabetes prevalence. Popul Health Metrics. 2010;8:29.CrossRef
2.
Zurück zum Zitat Caspersen CJ, Thomas GD, Boseman LA, Beckles GLA, Albright AL. Aging, diabetes, and the public health system in the United States. Am J Public Health. 2012;102:1482–97.PubMedCrossRef Caspersen CJ, Thomas GD, Boseman LA, Beckles GLA, Albright AL. Aging, diabetes, and the public health system in the United States. Am J Public Health. 2012;102:1482–97.PubMedCrossRef
3.
Zurück zum Zitat Karter AJ, Ferrara A, Liu YJ, Moffet HH, Ackerson LM, Selby JV. Ethnic disparities in diabetic complications in an insured population. JAMA. 2002;287:2519–27.PubMedCrossRef Karter AJ, Ferrara A, Liu YJ, Moffet HH, Ackerson LM, Selby JV. Ethnic disparities in diabetic complications in an insured population. JAMA. 2002;287:2519–27.PubMedCrossRef
4.
Zurück zum Zitat Young B, Maynard C, Reiber G, Boyko EJ. Effects of ethnicity and nephropathy on lower extremity amputation risk among diabetic veterans. Diabetes Care. 2003;26:495–501.PubMedCrossRef Young B, Maynard C, Reiber G, Boyko EJ. Effects of ethnicity and nephropathy on lower extremity amputation risk among diabetic veterans. Diabetes Care. 2003;26:495–501.PubMedCrossRef
5.
Zurück zum Zitat Von Korff M, Katon W, Lin EH, et al. Work disability among individuals with diabetes. Diabetes Care. 2005;28:1326–32.CrossRef Von Korff M, Katon W, Lin EH, et al. Work disability among individuals with diabetes. Diabetes Care. 2005;28:1326–32.CrossRef
6.
Zurück zum Zitat American Diabetes Association. Economic costs of diabetes in the U.S. in 2007. Diabetes Care. 2008;31:596–615.CrossRef American Diabetes Association. Economic costs of diabetes in the U.S. in 2007. Diabetes Care. 2008;31:596–615.CrossRef
7.
Zurück zum Zitat Niefeld MR, Braunstein JB, Wu AW, Saudek CD, Weller WE, Anderson GF. Preventable hospitalization among elderly Medicare beneficiaries with type 2 diabetes. Diabetes Care. 2003;26:1344–9.PubMedCrossRef Niefeld MR, Braunstein JB, Wu AW, Saudek CD, Weller WE, Anderson GF. Preventable hospitalization among elderly Medicare beneficiaries with type 2 diabetes. Diabetes Care. 2003;26:1344–9.PubMedCrossRef
8.
Zurück zum Zitat Kim H, Helmer DA, Zhao Z, Boockvar K. Potentially preventable hospitalizations among older adults with diabetes. Am J Manag Care. 2011;17:e419–26.PubMed Kim H, Helmer DA, Zhao Z, Boockvar K. Potentially preventable hospitalizations among older adults with diabetes. Am J Manag Care. 2011;17:e419–26.PubMed
9.
Zurück zum Zitat Stranges E, Stocks C. Potentially Preventable Hospitalizations for Acute and Chronic Conditions, 2008. HCUP Statistical Brief #99. Rockville, MD: Agency for Healthcare Research and Quality; 2010. Stranges E, Stocks C. Potentially Preventable Hospitalizations for Acute and Chronic Conditions, 2008. HCUP Statistical Brief #99. Rockville, MD: Agency for Healthcare Research and Quality; 2010.
10.
Zurück zum Zitat Bindman AB, Chattopadhay A, Auerback GA. Interruptions in Medicaid coverage and risk for hospitalization for ambulatory care-sensitive conditions. Ann Intern Med. 2008;149:854–60.PubMedCrossRef Bindman AB, Chattopadhay A, Auerback GA. Interruptions in Medicaid coverage and risk for hospitalization for ambulatory care-sensitive conditions. Ann Intern Med. 2008;149:854–60.PubMedCrossRef
11.
Zurück zum Zitat Biello KB, Rawlings J, Carroll-Scott A, Browne R, Ickovics JR. Racial disparities in age at preventable hospitalization among U.S. adults. Am J Prev Med. 2010;38:54–60.PubMedCrossRef Biello KB, Rawlings J, Carroll-Scott A, Browne R, Ickovics JR. Racial disparities in age at preventable hospitalization among U.S. adults. Am J Prev Med. 2010;38:54–60.PubMedCrossRef
12.
Zurück zum Zitat Mai Q, Holman DJ, Sanfilippo FM, Emery JD. The impact of mental illness on potentially preventable hospitalisations: a population-based cohort study. BMC Psychiatry. 2011;11:163.PubMedCrossRef Mai Q, Holman DJ, Sanfilippo FM, Emery JD. The impact of mental illness on potentially preventable hospitalisations: a population-based cohort study. BMC Psychiatry. 2011;11:163.PubMedCrossRef
13.
Zurück zum Zitat Druss BG, Zhao L, Cummings JR, Shim RS, Rust GS, Marcus SC. Mental comorbidity and quality of diabetes care under Medicaid: a 50-state analysis. Med Care. 2012;50:428–33.PubMedCrossRef Druss BG, Zhao L, Cummings JR, Shim RS, Rust GS, Marcus SC. Mental comorbidity and quality of diabetes care under Medicaid: a 50-state analysis. Med Care. 2012;50:428–33.PubMedCrossRef
14.
Zurück zum Zitat Anderson RJ, Freedland KE, Clouse RE, Lustman PJ. The prevalence of comorbid depression in adults with diabetes: a meta-analysis. Diabetes Care. 2001;24:1069–78.PubMedCrossRef Anderson RJ, Freedland KE, Clouse RE, Lustman PJ. The prevalence of comorbid depression in adults with diabetes: a meta-analysis. Diabetes Care. 2001;24:1069–78.PubMedCrossRef
15.
Zurück zum Zitat Katon WJ, Lin EHB, Williams LH, et al. Comorbid depression is associated with an increased risk of dementia diagnosis in patients with diabetes: a prospective cohort study. J Gen Intern Med. 2010;25:423–9.PubMedCrossRef Katon WJ, Lin EHB, Williams LH, et al. Comorbid depression is associated with an increased risk of dementia diagnosis in patients with diabetes: a prospective cohort study. J Gen Intern Med. 2010;25:423–9.PubMedCrossRef
16.
Zurück zum Zitat Katon W, Von Korff M, Lin E, et al. Improving primary care treatment of depression among patients with diabetes: the design of the Pathways study. Gen Hosp Psychiatry. 2003;25:158–68.PubMedCrossRef Katon W, Von Korff M, Lin E, et al. Improving primary care treatment of depression among patients with diabetes: the design of the Pathways study. Gen Hosp Psychiatry. 2003;25:158–68.PubMedCrossRef
17.
Zurück zum Zitat Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16:606–13.PubMedCrossRef Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16:606–13.PubMedCrossRef
18.
Zurück zum Zitat Gilbody S, Richards D, Brealey S, Hewitt C. Screening for depression in medical settings with the Patient Health Questionnaire (PHQ): a diagnostic meta-analysis. J Gen Intern Med. 2007;22:1596–602.PubMedCrossRef Gilbody S, Richards D, Brealey S, Hewitt C. Screening for depression in medical settings with the Patient Health Questionnaire (PHQ): a diagnostic meta-analysis. J Gen Intern Med. 2007;22:1596–602.PubMedCrossRef
19.
Zurück zum Zitat Katon WJ, Lin E, Russo J, Unützer J. Increased medical costs of a population-based sample of depressed elderly patients. Arch Gen Psychiatry. 2003;60:897–903.PubMedCrossRef Katon WJ, Lin E, Russo J, Unützer J. Increased medical costs of a population-based sample of depressed elderly patients. Arch Gen Psychiatry. 2003;60:897–903.PubMedCrossRef
20.
Zurück zum Zitat Reese RL, Freedland KE, Steinmeyer BC, Rich BW, Rackley JW, Carney RM. Depression and rehospitalization following acute myocardial infarction. Circ Cardiovasc Qual Outcomes. 2011;4:626–33.PubMedCrossRef Reese RL, Freedland KE, Steinmeyer BC, Rich BW, Rackley JW, Carney RM. Depression and rehospitalization following acute myocardial infarction. Circ Cardiovasc Qual Outcomes. 2011;4:626–33.PubMedCrossRef
21.
Zurück zum Zitat Winkley K, Sallis H, Kariyawasam D, et al. Five-year follow-up of a cohort of people with their first diabetic foot ulcer: the persistent effect of depression on mortality. Diabetologia. 2012;55:303–10.PubMedCrossRef Winkley K, Sallis H, Kariyawasam D, et al. Five-year follow-up of a cohort of people with their first diabetic foot ulcer: the persistent effect of depression on mortality. Diabetologia. 2012;55:303–10.PubMedCrossRef
22.
Zurück zum Zitat Löwe B, Spitzer RL, Gräfe K, et al. Comparative validity of three screening questionnaires for DSM-IV depressive disorders and physician diagnoses. J Affect Disord. 2004;78:131–40.PubMedCrossRef Löwe B, Spitzer RL, Gräfe K, et al. Comparative validity of three screening questionnaires for DSM-IV depressive disorders and physician diagnoses. J Affect Disord. 2004;78:131–40.PubMedCrossRef
23.
Zurück zum Zitat Lamers F, Jonkers CC, Bosma H, Penninx BW, Knottnerus JA, van Eijk JT. Summed score of the Patient Health Questionnaire-9 was a reliable and valid method for depression screening in chronically ill elderly patients. J Clin Epidemiol. 2008;61:679–87.PubMedCrossRef Lamers F, Jonkers CC, Bosma H, Penninx BW, Knottnerus JA, van Eijk JT. Summed score of the Patient Health Questionnaire-9 was a reliable and valid method for depression screening in chronically ill elderly patients. J Clin Epidemiol. 2008;61:679–87.PubMedCrossRef
24.
Zurück zum Zitat van-Steenbergen-Weijenburg KM, de Vroege L, Ploeger RR, et al. Validation of the PHQ-9 as a screening instrument for depression in diabetes patients in specialized outpatient clinics. BMC Health Serv Res. 2010;10:235.PubMedCrossRef van-Steenbergen-Weijenburg KM, de Vroege L, Ploeger RR, et al. Validation of the PHQ-9 as a screening instrument for depression in diabetes patients in specialized outpatient clinics. BMC Health Serv Res. 2010;10:235.PubMedCrossRef
25.
Zurück zum Zitat Toobert DJ, Hampson SE, Glasgow RE. The summary of diabetes self-care activities measure: results from seven studies and a revised scale. Diabetes Care. 2000;23:943–50.PubMedCrossRef Toobert DJ, Hampson SE, Glasgow RE. The summary of diabetes self-care activities measure: results from seven studies and a revised scale. Diabetes Care. 2000;23:943–50.PubMedCrossRef
26.
Zurück zum Zitat Fishman PA, Goodman MJ, Hornbrook MC, Meenan RT, Bachman DJ, O’Keeffe Rosetti MC. Risk adjustment using automated ambulatory pharmacy data: the RxRisk model. Med Care. 2003;41:84–99.PubMedCrossRef Fishman PA, Goodman MJ, Hornbrook MC, Meenan RT, Bachman DJ, O’Keeffe Rosetti MC. Risk adjustment using automated ambulatory pharmacy data: the RxRisk model. Med Care. 2003;41:84–99.PubMedCrossRef
27.
Zurück zum Zitat Young BA, Lin E, Von Korff M, et al. Diabetes Complications Severity Index and risk of mortality, hospitalization, and healthcare utilization. Am J Manag Care. 2008;14:15–24.PubMed Young BA, Lin E, Von Korff M, et al. Diabetes Complications Severity Index and risk of mortality, hospitalization, and healthcare utilization. Am J Manag Care. 2008;14:15–24.PubMed
28.
Zurück zum Zitat Coffey R, Barrett M, Houchens R, et al. Methods Applying AHRQ Quality Indicators to Healthcare Cost and Utilization Project (HCUP) Data for the Seventh (2009) National Healthcare Quality Report. HCUP Methods Series Report #2009-01. Rockville, MD: Agency for Healthcare Research and Quality; 2009. Coffey R, Barrett M, Houchens R, et al. Methods Applying AHRQ Quality Indicators to Healthcare Cost and Utilization Project (HCUP) Data for the Seventh (2009) National Healthcare Quality Report. HCUP Methods Series Report #2009-01. Rockville, MD: Agency for Healthcare Research and Quality; 2009.
29.
Zurück zum Zitat Giles MF, Rothwell PM. Substantial underestimation of the need for outpatient services for TIA and minor stroke. Age Ageing. 2007;36:676–80.PubMedCrossRef Giles MF, Rothwell PM. Substantial underestimation of the need for outpatient services for TIA and minor stroke. Age Ageing. 2007;36:676–80.PubMedCrossRef
30.
Zurück zum Zitat Wang G, Zhang Z, Ayala C. Hospitalization costs associated with hypertension as a secondary diagnosis among insured patients aged 18–64 years. Am J Hypertens. 2010;23:275–81.PubMedCrossRef Wang G, Zhang Z, Ayala C. Hospitalization costs associated with hypertension as a secondary diagnosis among insured patients aged 18–64 years. Am J Hypertens. 2010;23:275–81.PubMedCrossRef
31.
Zurück zum Zitat Fine JP, Gray RJ. A proportional hazards model for the subdistribution of a competing risk. J Am Stat Assoc. 1999;94:496–509.CrossRef Fine JP, Gray RJ. A proportional hazards model for the subdistribution of a competing risk. J Am Stat Assoc. 1999;94:496–509.CrossRef
32.
Zurück zum Zitat Higashi T, Wenger NS, Adams JL, et al. Relationship between number of medical conditions and quality of care. N Engl J Med. 2007;356:2496–504.PubMedCrossRef Higashi T, Wenger NS, Adams JL, et al. Relationship between number of medical conditions and quality of care. N Engl J Med. 2007;356:2496–504.PubMedCrossRef
33.
Zurück zum Zitat Grant RW, Ashburner JM, Hong CC, Chang Y, Barry MJ, Atlas SJ. Defining patient complexity from the primary care physician’s perspective: a cohort study. Ann Intern Med. 2011;155:797–804.PubMedCrossRef Grant RW, Ashburner JM, Hong CC, Chang Y, Barry MJ, Atlas SJ. Defining patient complexity from the primary care physician’s perspective: a cohort study. Ann Intern Med. 2011;155:797–804.PubMedCrossRef
34.
Zurück zum Zitat Bindman AB, Grumbach K, Osmond D, et al. Preventable hospitalizations and access to health care. JAMA. 1995;274:305–11.PubMedCrossRef Bindman AB, Grumbach K, Osmond D, et al. Preventable hospitalizations and access to health care. JAMA. 1995;274:305–11.PubMedCrossRef
35.
Zurück zum Zitat Katon WJ. Clinical and health services relationships between major depression, depressive symptoms, and general medical illness. Biol Psychiatry. 2003;54:216–26.PubMedCrossRef Katon WJ. Clinical and health services relationships between major depression, depressive symptoms, and general medical illness. Biol Psychiatry. 2003;54:216–26.PubMedCrossRef
36.
Zurück zum Zitat Mezuk B, Eaton WW, Albrecht S, Golden SH. Depression and type 2 diabetes over the lifespan: a meta-analysis. Diabetes Care. 2008;31:2383–90.PubMedCrossRef Mezuk B, Eaton WW, Albrecht S, Golden SH. Depression and type 2 diabetes over the lifespan: a meta-analysis. Diabetes Care. 2008;31:2383–90.PubMedCrossRef
37.
Zurück zum Zitat Ciechanowski PS, Katon WJ, Russo JE. Depression and diabetes: impact of depressive symptoms on adherence, function, and costs. Arch Intern Med. 2000;160:3278–85.PubMedCrossRef Ciechanowski PS, Katon WJ, Russo JE. Depression and diabetes: impact of depressive symptoms on adherence, function, and costs. Arch Intern Med. 2000;160:3278–85.PubMedCrossRef
38.
Zurück zum Zitat Lin EH, Rutter CM, Katon W, et al. Depression and advanced complications of diabetes: a prospective cohort study. Diabetes Care. 2010;33:264–9.PubMedCrossRef Lin EH, Rutter CM, Katon W, et al. Depression and advanced complications of diabetes: a prospective cohort study. Diabetes Care. 2010;33:264–9.PubMedCrossRef
39.
Zurück zum Zitat Katon W, Lyles CR, Parker MM, Karter AJ, Huang ES, Whitmer RA. Association of depression with increased risk of dementia in patients with type 2 diabetes: the Diabetes and Aging Study. Arch Gen Psychiatry. 2012;69:410–7.PubMedCrossRef Katon W, Lyles CR, Parker MM, Karter AJ, Huang ES, Whitmer RA. Association of depression with increased risk of dementia in patients with type 2 diabetes: the Diabetes and Aging Study. Arch Gen Psychiatry. 2012;69:410–7.PubMedCrossRef
40.
Zurück zum Zitat Iwashyna TJ, Ely EW, Smith DM, Langa KM. Long-term cognitive impairment and functional disability among survivors of severe sepsis. JAMA. 2010;304:1787–94.PubMedCrossRef Iwashyna TJ, Ely EW, Smith DM, Langa KM. Long-term cognitive impairment and functional disability among survivors of severe sepsis. JAMA. 2010;304:1787–94.PubMedCrossRef
41.
Zurück zum Zitat Ehlenbach WJ, Hough CL, Crane PK, et al. Association between acute care and critical illness hospitalization and cognitive function in older adults. JAMA. 2010;303:763–70.PubMedCrossRef Ehlenbach WJ, Hough CL, Crane PK, et al. Association between acute care and critical illness hospitalization and cognitive function in older adults. JAMA. 2010;303:763–70.PubMedCrossRef
42.
Zurück zum Zitat Wilson RS, Hebert LE, Scherr PA, Dong X, Leurgens SE, Evans DA. Cognitive decline after hospitalization in a community population of older persons. Neurology. 2012;78:950–6.PubMedCrossRef Wilson RS, Hebert LE, Scherr PA, Dong X, Leurgens SE, Evans DA. Cognitive decline after hospitalization in a community population of older persons. Neurology. 2012;78:950–6.PubMedCrossRef
43.
Zurück zum Zitat Davydow DS, Hough CL, Levine DA, Langa KM, Iwashyna TJ. Functional disability, cognitive impairment, and depression following hospitalization for pneumonia. Am J Med. In Press. Davydow DS, Hough CL, Levine DA, Langa KM, Iwashyna TJ. Functional disability, cognitive impairment, and depression following hospitalization for pneumonia. Am J Med. In Press.
44.
Zurück zum Zitat Katon WJ, Lin EHB, Von Korff M, et al. Collaborative care for patients with depression and chronic illnesses. N Engl J Med. 2010;363:2611–20.PubMedCrossRef Katon WJ, Lin EHB, Von Korff M, et al. Collaborative care for patients with depression and chronic illnesses. N Engl J Med. 2010;363:2611–20.PubMedCrossRef
45.
Zurück zum Zitat Simon GE, Katon WJ, Lin EH, et al. Diabetes complications and depression as predictors of healthcare costs. Gen Hosp Psychiatry. 2005;27:344–51.PubMedCrossRef Simon GE, Katon WJ, Lin EH, et al. Diabetes complications and depression as predictors of healthcare costs. Gen Hosp Psychiatry. 2005;27:344–51.PubMedCrossRef
46.
Zurück zum Zitat Meduru P, Helmer D, Rajan M, Tseng CL, Pogach L, Sambamoorthi U. Chronic illness with complexity: implications for performance measurement of optimal glycemic control. J Gen Intern Med. 2007;22:408–18.PubMedCrossRef Meduru P, Helmer D, Rajan M, Tseng CL, Pogach L, Sambamoorthi U. Chronic illness with complexity: implications for performance measurement of optimal glycemic control. J Gen Intern Med. 2007;22:408–18.PubMedCrossRef
47.
Zurück zum Zitat Luck J, Parkerton P, Hagigi F. What is the business case for improving care for patients with complex conditions? J Gen Intern Med. 2007;22:396–402.PubMedCrossRef Luck J, Parkerton P, Hagigi F. What is the business case for improving care for patients with complex conditions? J Gen Intern Med. 2007;22:396–402.PubMedCrossRef
48.
Zurück zum Zitat Katon WJ, Von Korff M, Lin EH, et al. The pathways study: a randomized trial of collaborative care in patients with diabetes and depression. Arch Gen Psychiatry. 2004;61:1042–9.PubMedCrossRef Katon WJ, Von Korff M, Lin EH, et al. The pathways study: a randomized trial of collaborative care in patients with diabetes and depression. Arch Gen Psychiatry. 2004;61:1042–9.PubMedCrossRef
49.
Zurück zum Zitat Reid RJ, Coleman K, Johnson EA, et al. The group health medical home at year two: cost savings, higher patient satisfaction, and less burnout for providers. Health Aff. 2010;29:835–43.CrossRef Reid RJ, Coleman K, Johnson EA, et al. The group health medical home at year two: cost savings, higher patient satisfaction, and less burnout for providers. Health Aff. 2010;29:835–43.CrossRef
50.
Zurück zum Zitat Fishman PA, Johnson EA, Coleman K, et al. Impact on seniors of the patient-centered medical home: evidence from a pilot study. Gerontologist. 2012;52:703–11.PubMedCrossRef Fishman PA, Johnson EA, Coleman K, et al. Impact on seniors of the patient-centered medical home: evidence from a pilot study. Gerontologist. 2012;52:703–11.PubMedCrossRef
Metadaten
Titel
Depression and Risk of Hospitalizations for Ambulatory Care-Sensitive Conditions in Patients with Diabetes
verfasst von
Dimitry S. Davydow, MD MPH
Wayne J. Katon, MD
Elizabeth H. B. Lin, MD
Paul Ciechanowski, MD, MPH
Evette Ludman, PhD
Malia Oliver, BA
Michael Von Korff, ScD
Publikationsdatum
01.07.2013
Verlag
Springer-Verlag
Erschienen in
Journal of General Internal Medicine / Ausgabe 7/2013
Print ISSN: 0884-8734
Elektronische ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-013-2336-1

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