Post-discharge Health Services Use for Patients with Serious Mental Illness Treated at an Emergency Department Versus a Dedicated Community Mental Health Center

被引：5

作者：

Henderson, Sarah C. ^{[1
]}

Owino, Hillary ^{[2
]}

Thomas, Kathleen C. ^{[3
]}

Cyr, Julianne M. ^{[2
]}

Ansari, Sana ^{[4
]}

Glickman, Seth W. ^{[5
]}

Dusetzina, Stacie B. ^{[1
,6
]}

机构：

[1] Vanderbilt Univ, Sch Med, Dept Hlth Policy, Nashville, TN 37212 USA

[2] Univ N Carolina, Dept Emergency Med, Chapel Hill, NC 27515 USA

[3] Univ N Carolina, Div Pharmaceut Outcomes & Policy, Div Res, Eshelman Sch Pharm,UNC Hlth Sci,MAHEC, Chapel Hill, NC 27515 USA

[4] RAHMA, Washington, DC USA

[5] Intermt Healthcare, Salt Lake City, UT USA

[6] Vanderbilt Univ, Dept Hlth Policy, Sch Med, 2525 West End Ave,Suite 1203, Nashville, TN 37203 USA

来源：

ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH | 2020年 / 47卷 / 03期

关键词：

Medicaid; Mental illness; Community mental health center; Cost-effectiveness; PROPENSITY SCORE; TRANSPORT; VISITS; CARE;

D O I：

10.1007/s10488-019-01000-6

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Emergency Medical Service (EMS) alternative destination programs may lead to improved care quality among those experiencing mental health crises but the association with cost and emergency department (ED) recidivism remains unexamined. We compare rates of post-discharge health services use and Medicaid spending among patients transported to an ED or community mental health center (CMHC) finding higher ED recidivism for patient treated in the ED, compared to those treated in a CMHC (68% vs 34%, p < 0.001). There were no differences in Medicaid spending or health services use post-discharge suggesting EMS-operated alternative destination programs may be cost-neutral for Medicaid programs.

引用

页码：443 / 450

页数：8

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