Behavioral health home impact on transitional care and readmissions among adults with serious mental illness.
Health Serv Res
; 56(3): 432-439, 2021 06.
Article
em En
| MEDLINE
| ID: mdl-33118187
ABSTRACT
OBJECTIVE:
To evaluate the impact of Maryland's behavioral health homes (BHHs) on receipt of follow-up care and readmissions following hospitalization among Medicaid enrollees with serious mental illness (SMI). DATA SOURCES Maryland Medicaid administrative claims for 12 232 individuals. STUDYDESIGN:
Weighted marginal structural models were estimated to account for time-varying exposure to BHH enrollment and time-varying confounders. These models compared changes over time in outcomes among BHH and comparison participants. Outcome measures included readmissions and follow-up care within 7 and 30 days following hospitalization. DATA COLLECTION/EXTRACTIONMETHODS:
Eligibility criteria included continuous enrollment in Medicaid for the first two years of the study period; 21-64 years; and use of psychiatric rehabilitation services. PRINCIPALFINDINGS:
Over three years, BHH enrollment was associated with 3.8 percentage point (95% CI 1.5, 6.1) increased probability of having a mental health follow-up service within 7 days of discharge from a mental illness-related hospitalization and 1.9 percentage point (95% CI 0.0, 3.9) increased probability of having a general medical follow-up within 7 days of discharge from a somatic hospitalization. BHHs had no effect on probability of readmission.CONCLUSIONS:
BHHs may improve follow-up care for Medicaid enrollees with SMI, but effects do not translate into reduced risk of readmission.Palavras-chave
Texto completo:
1
Temas:
ECOS
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Aspectos_gerais
Bases de dados:
MEDLINE
Assunto principal:
Readmissão do Paciente
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Assistência Centrada no Paciente
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Cuidado Transicional
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Transtornos Mentais
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Serviços de Saúde Mental
Tipo de estudo:
Diagnostic_studies
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Prognostic_studies
Limite:
Adult
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Female
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Humans
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Male
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Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Health Serv Res
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Estados Unidos