Evaluating the Impact of Integrated Care on Service Utilization in Serious Mental Illness.
Community Ment Health J
; 54(8): 1101-1108, 2018 11.
Article
de En
| MEDLINE
| ID: mdl-29948631
ABSTRACT
Serious mental illness (SMI) affects 5% of the United States population and is associated with increased morbidity and mortality, and use of high-cost healthcare services including hospitalizations and emergency department visits. Integrating behavioral and physical healthcare may improve care for consumers with SMI, but prior research findings have been mixed. This quantitative retrospective cohort study assessed whether there was a predictive relationship between integrated healthcare clinic enrollment and inpatient and emergency department utilization for consumers with SMI when controlling for demographic characteristics and disease severity. While findings indicated no statistically significant impact of integrated care clinic enrollment on utilization, the sample had lower levels of utilization than would have been expected. Since policy and payment structures continue to support integrated care models, further research on different programs are encouraged, as each setting and practice pattern is unique.
Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Acceptation des soins par les patients
/
Prestation intégrée de soins de santé
/
Troubles mentaux
Type d'étude:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limites:
Adult
/
Female
/
Humans
/
Male
Langue:
En
Journal:
Community Ment Health J
Année:
2018
Type de document:
Article
Pays d'affiliation:
États-Unis d'Amérique