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. 2023 Sep;12(9):1917-1922.
doi: 10.4103/jfmpc.jfmpc_2296_22. Epub 2023 Sep 30.

Effect of collaborative care intervention on productivity losses among people with comorbid common mental disorders and cardiovascular disease in rural Karnataka

Farah Naaz Fathima  1 , Sumithra Selvam  2 , Elsa Heylen  3 , Krishnamachari Srinivasan  4 , Maria Ekstrand  5
Affiliations

Effect of collaborative care intervention on productivity losses among people with comorbid common mental disorders and cardiovascular disease in rural Karnataka

Farah Naaz Fathima et al. J Family Med Prim Care. 2023 Sep.

Abstract

Introduction: Common mental disorders (CMD) and cardiovascular diseases (CVD), common health problems among patients seeking primary healthcare, contribute to high economic productivity losses. Collaborative care programs for CMDs and CVDs have shown improvement in clinical outcomes for both conditions; however, data on productivity outcomes are scarce. Objective: Effect of integrated collaborative care on productivity among people with comorbid CMD and CVD in rural Karnataka primary health clinics.

Methods: Participants were recruited within a randomized trial in rural South India, where patients received either collaborative or enhanced standard care. In this substudy, 303 participants were followed for 3 months and assessed with the iMTA Productivity Cost Questionnaire (iPCQ).

Results: We found a reduction in the proportion of individuals reporting productivity loss at 3 months (66%) compared to baseline (76%; P = 0.002). Productivity losses decreased from INR 30.3 per person per day at baseline to 17.7 at 3 months. Reductions were similar in the two treatment conditions.

Conclusion: Medical intervention may foster reduced productivity losses among patients with CMD and CVD. Collaborative care did not translate into higher reductions in productivity losses than "enhanced standard care."

Keywords: Collaborative care; common mental disease; productivity loss; rural.

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Conflict of interest statement

There are no conflicts of interest.

References

    1. Global Burden of Disease Study 2017. Institute for Health Metrics and Evaluation (IHME) GBD Compare. Seattle, WA: IHME, University of Washington; 2017. [[Last accessed on 2020 Jul 08]]. Available from: https://vizhub.healthdata.org/gbd-compare/
    1. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019:A systematic analysis for the Global Burden of Disease Study 2019. GBD 2019 Diseases and Injuries Collaborators. Lancet. 2020;396:1204–22. - PMC - PubMed
    1. Pothen M, Kuruvilla A, Philip K, Joseph A, Jacob KS. Common mental disorders among primary care attenders in Vellore, South India:Nature, prevalence and risk factors. Int J Soc Psychiatry. 2003;49:119–25. - PubMed
    1. Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010:A systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380:2095–128. - PMC - PubMed
    1. Komalasari R, Nurjanah, Yoche MM. Quality of life of people with cardiovascular disease:A descriptive study. Asian Pac Isl Nurs J. 2019;4:92. - PMC - PubMed