TY - JOUR
KW - Cross-Sectional Studies
KW - Female
KW - Health Care Surveys
KW - Humans
KW - Male
KW - medical home
KW - Mental Health
KW - Mental Health Services/organization & administration
KW - Middle Aged
KW - Patient-Centered Care
KW - primary care
KW - Primary Health Care
KW - Stress, Psychological/rehabilitation
AU - S. Linman
AU - I. Benjenk
AU - J. Chen
A1 - 
AB - BACKGROUND: Primary care practices are changing the way that they provide care by increasing their medical home functionality. Medical home functionality can improve access to care and increase patient-centeredness, which is essential for persons with mental health issues. This study aims to explore the degree to which medical home functions have been implemented by primary care practices that care for adults with psychological distress. METHODS: Analysis of the 2015 Medical Expenditure Panel Survey Household Component and Medical Organizations Survey. This unique data set links data from a nationally representative sample of US households to the practices in which they receive primary care. This study focused on adults aged 18 and above. RESULTS: As compared to adults without psychological distress, adults with psychological distress had significantly higher rates of chronic illness and poverty. Adults with psychological distress were more likely to receive care from practices that include advanced practitioners and are non-profit or hospital-based. Multivariate models that were adjusted for patient-level and practice-level characteristics indicated that adults with psychological distress are as likely to receive primary care from practices with medical home functionality, including case management, electronic health records, flexible scheduling, and PCMH certification, as adults without psychological distress. CONCLUSIONS: Practices that care for adults with mental health issues have not been left behind in the transition towards medical home models of primary care. Policy makers should continue to prioritize adults with mental health issues to receive primary care through this model of delivery due to this population's great potential to benefit from improved access and care coordination. TRIAL REGISTRATION: This study does not report the results of a health care intervention on human subject's participants.
BT - BMC health services research
C5 - Medical Home
CP - 1
CY - England
DO - 10.1186/s12913-018-3845-8
IS - 1
JF - BMC health services research
N2 - BACKGROUND: Primary care practices are changing the way that they provide care by increasing their medical home functionality. Medical home functionality can improve access to care and increase patient-centeredness, which is essential for persons with mental health issues. This study aims to explore the degree to which medical home functions have been implemented by primary care practices that care for adults with psychological distress. METHODS: Analysis of the 2015 Medical Expenditure Panel Survey Household Component and Medical Organizations Survey. This unique data set links data from a nationally representative sample of US households to the practices in which they receive primary care. This study focused on adults aged 18 and above. RESULTS: As compared to adults without psychological distress, adults with psychological distress had significantly higher rates of chronic illness and poverty. Adults with psychological distress were more likely to receive care from practices that include advanced practitioners and are non-profit or hospital-based. Multivariate models that were adjusted for patient-level and practice-level characteristics indicated that adults with psychological distress are as likely to receive primary care from practices with medical home functionality, including case management, electronic health records, flexible scheduling, and PCMH certification, as adults without psychological distress. CONCLUSIONS: Practices that care for adults with mental health issues have not been left behind in the transition towards medical home models of primary care. Policy makers should continue to prioritize adults with mental health issues to receive primary care through this model of delivery due to this population's great potential to benefit from improved access and care coordination. TRIAL REGISTRATION: This study does not report the results of a health care intervention on human subject's participants.
PP - England
PY - 2019
SN - 1472-6963; 1472-6963
SP - 21
T1 - The medical home functions of primary care practices that care for adults with psychological distress: a cross-sectional study
T2 - BMC health services research
TI - The medical home functions of primary care practices that care for adults with psychological distress: a cross-sectional study
U1 - Medical Home
U2 - 30626378
U3 - 10.1186/s12913-018-3845-8
VL - 19
VO - 1472-6963; 1472-6963
Y1 - 2019
ER -