Family practice enhancements for patients with severe mental illness
| Autor: | Gregory G. Homish, Patricia A. Pastore, Kim S. Griswold, Robert Watkins |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male Mental Health Services Health (social science) New York Poison control Suicide prevention Severity of Illness Index Occupational safety and health Health Services Accessibility Interviews as Topic Nursing Injury prevention medicine Humans Qualitative Research Aged Primary Health Care business.industry Delivery of Health Care Integrated Mental Disorders Public Health Environmental and Occupational Health Human factors and ergonomics Patient Acceptance of Health Care Mental illness medicine.disease Mental health Integrated care Hospitalization Psychiatry and Mental health Female sense organs business Family Practice |
| Zdroj: | Community mental health journal. 49(2) |
| ISSN: | 1573-2789 |
| Popis: | Individuals with severe mental health disorders experience difficulty maneuvering the complexity encountered in primary care (PC). This study describes the impact of three components of primary care practice enhancements on: changes in missed appointments, changes in health outcomes, number of ER visits and hospitalization days, and perceptions of integrated care. Missed PC appointments: baseline to post practice enhancement changed from 42 to 11, statistically significant (p < .01). Changes in health outcomes: SF-12 scores had no significant change nor did ER utilization and hospitalization; however, outcomes are low-base rate and assessment period was short. Integration of care: liaison was most helpful in accessing and navigating PC, educating and reconciling medication lists. Behavioral health staff voiced relief regarding access and felt better informed. Strategies focusing on increasing communication, staff education, and reducing barriers to access and receipt of PC may improve integration and continuity of care. |
| Databáze: | OpenAIRE |
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