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

Autor: Breslau J; RAND Corporation, 4570 Fifth Avenue, Pittsburgh, PA, 15213, USA. jbreslau@rand.org., Leckman-Westin E; New York State Office of Mental Health, 44 Holland Ave, Albany, NY, 12229, USA., Yu H; RAND Corporation, 4570 Fifth Avenue, Pittsburgh, PA, 15213, USA., Han B; RAND Corporation, 1776 Main St., Santa Monica, CA, 90401, USA., Pritam R; New York State Office of Mental Health, 44 Holland Ave, Albany, NY, 12229, USA., Guarasi D; New York State Office of Mental Health, 44 Holland Ave, Albany, NY, 12229, USA., Horvitz-Lennon M; RAND Corporation Boston MA, 20 Park Plz # 920, Boston, MA, 02116, USA., Scharf DM; Faculty of Education, Lakehead University, 500 University Avenue, Orillia, ON, L3V 0B9, Canada., Pincus HA; Department of Psychiatry, Columbia University, 1051 Riverside Drive, New York, NY, 10032, USA., Finnerty MT; New York State Office of Mental Health, 330 5th Ave, 9th floor, New York, NY, 10001, USA.
Jazyk: angličtina
Zdroj: Administration and policy in mental health [Adm Policy Ment Health] 2018 Mar; Vol. 45 (2), pp. 276-285.
DOI: 10.1007/s10488-017-0822-1
Abstrakt: 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.
Databáze: MEDLINE
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