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

被引:0
作者
Joshua Breslau
Emily Leckman-Westin
Hao Yu
Bing Han
Riti Pritam
Diana Guarasi
Marcela Horvitz-Lennon
Deborah M. Scharf
Harold A. Pincus
Molly T. Finnerty
机构
[1] RAND Corporation,Faculty of Education
[2] New York State Office of Mental Health,Department of Psychiatry
[3] RAND Corporation,undefined
[4] RAND Corporation Boston MA,undefined
[5] Lakehead University,undefined
[6] Columbia University,undefined
[7] New York State Office of Mental Health,undefined
来源
Administration and Policy in Mental Health and Mental Health Services Research | 2018年 / 45卷
关键词
Serious mental illness; Integrated care; Quality of care; Primary care;
D O I
暂无
中图分类号
学科分类号
摘要
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.
引用
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页码:276 / 285
页数:9
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