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January/February 2012 Annals of Family Medicine
Date:1/9/2012

mary care patients randomized to the integrated care intervention showed higher rates of adherence to oral hypoglycemic and antidepressant agents, as well as greater glucose control and fewer depressive symptoms at the final study visit, compared with patients randomized to usual care. Specifically, they found patients randomized to the integrated care intervention were more likely to achieve glycated hemoglobin levels of less than 7 percent (intervention 61 percent vs. usual care 36 percent) and remission of depression (intervention 59 percent vs. usual care 31 percent), compared to patients in the usual care group at 12 weeks. The authors call for an integrated approach to depression and type 2 diabetes treatment and conclude their intervention, which has a total contact time of only two hours, offers a sustainable solution that can be implementable in primary care for patients managing multiple medical comorbidities with varying degrees of complexity in pharmacotherapy regimens.

Integrated Management of Type 2 Diabetes Mellitus and Depression Treatment to Improve Medication Adherence: A Randomized Controlled Trial

By Hillary R. Bogner, MD, MSCE, et al

The University of Pennsylvania, Philadelphia

Summary Report on Medical Home Strategies for Caring for Patients with Complex Care Needs

The Agency for Healthcare Research & Quality and Mathematic Policy Research offer a summary report of strategies to help smaller primary care practices transform into medical homes that effectively serve patients with complex needs, particularly the frail elderly and working-age adults with disabilities. Drawing on case studies of five programs around the country that use a variety of approaches for supporting and collaborating with smaller, independent primary care practices in caring for patients with complex needs, they conclude that small practices require support and resources beyond those needed to meet current medical home standards. The two mo
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Contact: Angela Sharma
asharma@aafp.org
913-269-2269
American Academy of Family Physicians
Source:Eurekalert

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