Open AccessImplementing collaborative care for older people with comorbid hypertension and depression in rural China
Author(s) -
Lydia Li,
Jiang Xue,
Yeates Conwell,
Qing Yang,
Shulin Chen
Publication year - 2019
Publication title -
international psychogeriatrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.259
H-Index - 96
eISSN - 1741-203X
pISSN - 1041-6102
DOI - 10.1017/s1041610219001509
Subject(s) - collaborative care , depression (economics) , focus group , nursing , medicine , psychology , family medicine , primary care , business , marketing , economics , macroeconomics
Depression often coexists with other chronic conditions in older people. The COACH study is an ongoing random controlled trial (RCT) to test the effectiveness of a primary-care-based collaborative care approach to treat co-morbid hypertension and depression in Chinese rural elders. In the COACH model, a team-village doctor (VD), aging worker (AW), and psychiatrist consultant-provides collaborative care to enrolled subjects in each intervention village for 12 months. This study examines how COACH was implemented and identifies facilitators and barriers for its more widespread implementation.