Improvements in Transitional Care Among Medicaid-Insured Patients With Serious Mental Illness

被引：1

作者：

Nikpour, Jacqueline ^{[1
]}

Langston, Christine ^{[2
,3
]}

Brom, Heather ^{[3
,4
,5
]}

Sliwinski, Kathy ^{[6
]}

Mason, Aleigha ^{[7
]}

Garcia, Dianne ^{[8
]}

Grantham-Murillo, Marsha ^{[9
]}

Bennett, Jovan ^{[10
]}

Cacchione, Pamela Z. ^{[11
,12
]}

Brooks Carthon, J. Margo ^{[3
,13
]}

机构：

[1] Emory Univ, Nell Hodgson Woodruff Sch Nursing, 1520 Clifton Rd, Atlanta, GA 30322 USA

[2] Univ Penn, Sch Nursing, Ctr Hlth Outcomes & Policy Res, Hillman Scholars Nursing Innovat, Philadelphia, PA USA

[3] Univ Penn, Leonard Davis Inst Hlth Econ, Philadelphia, PA USA

[4] Univ Penn, Sch Nursing, Dept Biobehav Hlth Sci, Philadelphia, PA USA

[5] Univ Penn, Ctr Hlth Outcomes & Policy Res, Sch Nursing, Philadelphia, PA USA

[6] Northwestern Univ, Feinberg Sch Med, Integrated Fellowship Hlth Serv & Outcomes Res, Chicago, IL USA

[7] Columbia Univ, Sch Nursing, New York, NY USA

[8] Univ Penn, Sch Nursing, Philadelphia, PA USA

[9] Penn Med Home, Philadelphia, PA USA

[10] Penn Ctr Community Hlth Workers, Philadelphia, PA USA

[11] Univ Penn, Sch Nursing, Dept Family & Community Hlth, Gerontol Nursing, Philadelphia, PA USA

[12] Univ Penn, Penn Presbyterian Med Ctr, Sch Nursing, Philadelphia, PA USA

[13] Univ Penn, Ctr Hlth Outcomes & Policy Res, Sch Nursing, Philadelphia, PA USA

来源：

JOURNAL OF NURSING CARE QUALITY | 2025年 / 40卷 / 01期

基金：

美国医疗保健研究与质量局;

关键词：

health equity; Medicaid; mental health; psychiatric nursing; READMISSIONS; ADULTS; HEALTH;

D O I：

10.1097/NCQ.0000000000000805

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Background:The Thrive program is an evidenced-based care model for Medicaid-insured adults in the hospital-to-home transition. A substantial portion of Thrive participants live with serious mental illness (SMI), yet Thrive's efficacy has not been tested among these patients.Purpose:To compare 30-day postdischarge outcomes between Thrive participants with and without SMI and explore Thrive's appropriateness and acceptability among participants with SMI.Methods:We conducted a sequential explanatory mixed-methods study of 252 (62 with SMI) Thrive participants discharged from an academic medical center from February 2021 to August 2023. Interviews of participants with SMI were analyzed using rapid qualitative analysis.Results:Participants with and without SMI experienced similar rates of 30-day readmissions, emergency room visits, and postdischarge follow-up visits, with these differences being nonsignificant. Participants with SMI were highly satisfied with Thrive's care coordination and attention to social needs, yet participants suggested stronger connections to behavioral health care.Conclusions:Participants with and without SMI benefit equitably from Thrive.

引用

页码：76 / 83

页数：8

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