Impact of a Mental Health Based Primary Care Program on Quality of Physical Health Care

被引：21

作者：

Breslau, Joshua ^{[1
]}

Leckman-Westin, Emily ^{[2
]}

Yu, Hao ^{[1
]}

Han, Bing ^{[3
]}

Pritam, Riti ^{[2
]}

Guarasi, Diana ^{[2
]}

Horvitz-Lennon, Marcela ^{[4
]}

Scharf, Deborah M. ^{[5
]}

Pincus, Harold A. ^{[6
]}

Finnerty, Molly T. ^{[7
]}

机构：

[1] RAND Corp, 4570 Fifth Ave, Pittsburgh, PA 15213 USA

[2] New York State Off Mental Hlth, 44 Holland Ave, New York, NY 12229 USA

[3] RAND Corp, 1776 Main St, Santa Monica, CA 90401 USA

[4] RAND Corp, 20 Pk Plz 920, Boston, MA 02116 USA

[5] Lakehead Univ, Fac Educ, 500 Univ Ave, Orillia, ON L3V 0B9, Canada

[6] Columbia Univ, Dept Psychiat, 1051 Riverside Dr, New York, NY 10032 USA

[7] New York State Off Mental Hlth, 330 5th Ave,9th Floor, New York, NY 10001 USA

来源：

ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH | 2018年 / 45卷 / 02期

关键词：

Serious mental illness; Integrated care; Quality of care; Primary care; MEDICAL-CARE; ILLNESS; PEOPLE; SCHIZOPHRENIA; SERVICES; OUTCOMES; CENTERS; ADULTS; TRIAL; SILOS;

D O I：

10.1007/s10488-017-0822-1

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

We examine the impact of mental health based primary care on physical health treatment among community mental health center patients in New York State using propensity score adjusted difference in difference models. Outcomes are quality indicators related to outpatient medical visits, diabetes HbA1c monitoring, and metabolic monitoring of antipsychotic treatment. Results suggest the program improved metabolic monitoring for patients on antipsychotics in one of two waves, but did not impact other quality indicators. Ceiling effects may have limited program impacts. More structured clinical programs to may be required to achieve improvements in quality of physical health care for this population.

引用

页码：276 / 285

页数：10

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