TY - JOUR
KW - Health counseling
KW - Health Screening
KW - Hypertension
KW - primary care
KW - serious mental illness
AU - S. P. Iyer
AU - A. S. Young
A1 - 
AB - OBJECTIVE: This study sought to determine if primary care visits for people with serious mental illness (SMI) demonstrate different rates of basic physical health services compared to others, and to determine factors associated with differing rates of these measures in people with SMI. METHOD: The study used 2005-2010 visit-level primary care data from the National Ambulatory Medical Care Survey and the National Hospital Ambulatory Medical Care Survey. The provision of health counseling, receipt of any diagnostic or screening test, measurement of blood pressure or weight and evidence of hypertension control were assessed, adjusting for identified patient, provider and visit-level factors. RESULTS: After adjustment for covariates, we found no significant differences between visits for people with SMI and those without for any outcome. Probability of blood pressure measurement and diagnostic or screening testing significantly increased over time. CONCLUSION: The lack of significant differences found here might be due to adjustment for covariates, a focus only on primary care visits, the use of visit-level data or evolution over time. Mortality differences for people with SMI may be attributable to those not receiving primary care, self-management of disease or subsets of the population requiring targeted interventions.
BT - General hospital psychiatry
C5 - Healthcare Disparities
CP - 1
CY - United States
DO - 10.1016/j.genhosppsych.2014.10.003
IS - 1
JF - General hospital psychiatry
N2 - OBJECTIVE: This study sought to determine if primary care visits for people with serious mental illness (SMI) demonstrate different rates of basic physical health services compared to others, and to determine factors associated with differing rates of these measures in people with SMI. METHOD: The study used 2005-2010 visit-level primary care data from the National Ambulatory Medical Care Survey and the National Hospital Ambulatory Medical Care Survey. The provision of health counseling, receipt of any diagnostic or screening test, measurement of blood pressure or weight and evidence of hypertension control were assessed, adjusting for identified patient, provider and visit-level factors. RESULTS: After adjustment for covariates, we found no significant differences between visits for people with SMI and those without for any outcome. Probability of blood pressure measurement and diagnostic or screening testing significantly increased over time. CONCLUSION: The lack of significant differences found here might be due to adjustment for covariates, a focus only on primary care visits, the use of visit-level data or evolution over time. Mortality differences for people with SMI may be attributable to those not receiving primary care, self-management of disease or subsets of the population requiring targeted interventions.
PP - United States
PY - 2015
SN - 1873-7714; 0163-8343
SP - 60
EP - 66
EP - 
T1 - Health screening, counseling, and hypertension control for people with serious mental illness at primary care visits
T2 - General hospital psychiatry
TI - Health screening, counseling, and hypertension control for people with serious mental illness at primary care visits
U1 - Healthcare Disparities
U2 - 25480463
U3 - 10.1016/j.genhosppsych.2014.10.003
VL - 37
VO - 1873-7714; 0163-8343
Y1 - 2015
ER -