Impact of the mental health and dynamic referral for oncology (MHADRO) program on oncology patient outcomes, health care utilization, and health provider behaviors: A multi-site randomized control trial
Autor: | Cori McMahon, Hannah R. Michalak, Erin L. O'Hea, Cindy L. Carmack, Edwin D. Boudreaux, Alexandra Cutillo, Tina Harralson, Bruce A. Barton, Aimee R. Kroll-Desrosiers |
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Rok vydání: | 2020 |
Předmět: |
Adult
Male Mental Health Services Oncology medicine.medical_specialty Referral Attitude of Health Personnel Psychological Distress Article law.invention 03 medical and health sciences 0302 clinical medicine Documentation Randomized controlled trial law Neoplasms Internal medicine Health care medicine Humans 030212 general & internal medicine Referral and Consultation New Jersey business.industry 030503 health policy & services General Medicine Patient Acceptance of Health Care Texas Mental health Psychological evaluation Patient Outcome Assessment Distress Mental Health Outcome and Process Assessment Health Care Massachusetts Female 0305 other medical science business Psychosocial Stress Psychological |
Zdroj: | Patient Educ Couns |
ISSN: | 0738-3991 |
DOI: | 10.1016/j.pec.2019.10.006 |
Popis: | Objective The MHADRO assesses psychosocial and medical needs, provides tailored feedback reports, and connects patients to mental health providers. This study examined the MHADRO’s effect on patient outcomes, health care utilization, and oncology provider documentation and behaviors. Methods 836 patients were part of a multi-site RCT and assessments were conducted at baseline, 2, 6 and 12 months. Results The intervention group engaged in less emergency calls to providers. There were no differences in psychosocial outcomes at follow up assessments. Providers of patients in the intervention group were more likely to: document psychosocial symptoms and history; refer to psychosocial services; encourage support groups; seek psychological evaluations during visits. Patients who agreed to a mental health referral had decreased hospitalizations, increased mental health care interactions, and stronger ratings of counseling potential benefits. This group also reported increased psychosocial distress at all follow-up assessments. Conclusion The MHADRO may increase access to mental health care, lessen utilization, and improve providers’ management of psychosocial needs, but does not appear to impact overall functioning over time. Practice Implications Providers are encouraged to consider incorporating programs, like the MHADRO, into patient care as they may have the potential to impact screening and management of patients’ psychosocial needs. |
Databáze: | OpenAIRE |
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