Table 1.
Study Characteristics.
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|---|---|---|---|---|---|---|---|---|
| TRIAL | DURATION AND FOLLOW-UP | STUDY PARTICIPANTS | SETTING | CONTROL | INTERVENTION | MDT MEETING DESCRIPTION | OUTCOMES | RESULTS |
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| Counsell et al 2007 [25] | Intervention: 24 months Follow-up: 6, 12, 18 and 24 months |
Aged ≥ 65, Annual income 200% < federal poverty level, comorbidities (n = 951) | Primary care practice serving approximately 6000 patients | Usual care (n = 477) |
Geriatric care management model: GRACE intervention (n = 474) |
Weekly interdisciplinary team meetings (nurse practioner, social worker, primary care physician) to review support team success in implementing care protocols and problem solve barriers to implementation | Physical health, Function health, Utilisation of health services, |
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| Harpole et al 2005 [26] | Intervention: 12 months Follow-up: 3, 6, 12 months |
Aged ≥ 60, Major depression or dysthymia and ≥ 1 other chronic condition. (n = 1801) |
18 primary care clinics | Usual care (n = 895) |
IMPACT intervention (n = 906) |
The district care nurse met weekly with the supervising psychiatrist and the liaison primary care physician to monitor progress and adjust treatment plans as needed | Mental health, Functional health |
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| Katon et al 2010/2012 [23,24] | Intervention: 24 months Follow-up: 6, 12, 18, 24 months |
Depression and diabetes, or coronary heart disease, or both (n = 214) |
14 primary care clinics | Enhanced usual care (n = 108) |
TEAMcare program (n = 106) |
Nurses met weekly for systematic case reviews with the family physician, consulting psychiatrist and internist, to enhance care coordination and ensure accountability for follow-up to guideline level disease management and achieve clinical goals | Physical health, Mental health, Functional health, Provider behaviour, Acceptability of services, Costs and cost-effectiveness |
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| Sommers et al 2000 [27] | Intervention: 24 months Follow-up: 12 months post-intervention |
Aged > 65, ≥ 2 chronic conditions (n = 543) |
18 primary care clinics | Usual care (n = 263) |
Collaborative Care (n = 280) |
The physician, the nurse and the social worker met at least monthly to review each patient’s status and revise care plans. | Physical health, Functional health, Utilisation of health services, Costs and cost-effectiveness |
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Abbreviations: SF-36; short form survey 36, MDT; multidisciplinary team, ADL; activities of daily living, ED; emergency department, SCL-30; check list of symptoms 30, GRACE; geriatric resources for the assessment and care of elders, IMPACT; improving mood-promoting access to collaborative treatment, LDL; low-density lipoprotein, n; number of participants.