TY - JOUR
KW - Health Policy
KW - Integrated Delivery Systems
KW - Mental Health
KW - Primary Health Care
AU - B. F. Miller
AU - S. Petterson
AU - S. M. Brown Levey
AU - J. C. Payne-Murphy
AU - M. Moore
AU - A. Bazemore
A1 - 
AB - Purpose: The purpose of this study was to characterize the proximity of primary care and behavioral health service delivery sites in the United States and factors influencing their colocation. METHODS: We geocoded the practice addresses of primary care and behavioral health providers found in the Centers for Medicare & Medicaid Services' National Plan and Provider Enumeration System Downloadable File to report where colocation is occurring throughout the country. RESULTS: The extent to which primary care physicians are colocated with behavioral health providers is strongly associated with rurality. Specifically, 40.2% of primary care physicians in urban areas are colocated with behavioral health providers compared with 22.8% in isolated rural areas and 26.5% in frontier areas. However, when controlling for number of primary care physicians at a location, the odds of colocation actually are greater for physicians in a frontier area than those in urban areas (odds ratio, 1.289; P < .01). CONCLUSIONS: Our findings offer new insights into the overlap of the behavioral health and primary care workforce, where opportunities for integration may be limited because of practice size and the proximity of providers, and where new possibilities for integration exist.
BT - Journal of the American Board of Family Medicine : JABFM
C5 - Education & Workforce; Healthcare Disparities
CP - 3
CY - United States
DO - 10.3122/jabfm.2014.03.130260
IS - 3
JF - Journal of the American Board of Family Medicine : JABFM
N2 - Purpose: The purpose of this study was to characterize the proximity of primary care and behavioral health service delivery sites in the United States and factors influencing their colocation. METHODS: We geocoded the practice addresses of primary care and behavioral health providers found in the Centers for Medicare & Medicaid Services' National Plan and Provider Enumeration System Downloadable File to report where colocation is occurring throughout the country. RESULTS: The extent to which primary care physicians are colocated with behavioral health providers is strongly associated with rurality. Specifically, 40.2% of primary care physicians in urban areas are colocated with behavioral health providers compared with 22.8% in isolated rural areas and 26.5% in frontier areas. However, when controlling for number of primary care physicians at a location, the odds of colocation actually are greater for physicians in a frontier area than those in urban areas (odds ratio, 1.289; P < .01). CONCLUSIONS: Our findings offer new insights into the overlap of the behavioral health and primary care workforce, where opportunities for integration may be limited because of practice size and the proximity of providers, and where new possibilities for integration exist.
PP - United States
PY - 2014
SN - 1557-2625; 1557-2625
SP - 367
EP - 374
EP - 
T1 - Primary care, behavioral health, provider colocation, and rurality
T2 - Journal of the American Board of Family Medicine : JABFM
TI - Primary care, behavioral health, provider colocation, and rurality
U1 - Education & Workforce; Healthcare Disparities
U2 - 24808115
U3 - 10.3122/jabfm.2014.03.130260
VL - 27
VO - 1557-2625; 1557-2625
Y1 - 2014
ER -