TY - JOUR
KW - Adult
KW - Delivery of Health Care, Integrated/methods
KW - Emergency Service, Hospital/statistics & numerical data
KW - Female
KW - Hospitalization/statistics & numerical data
KW - Humans
KW - integrated care
KW - Male
KW - Mental Disorders/therapy
KW - Patient Acceptance of Health Care/psychology/statistics & numerical data
KW - Physical Health
KW - Retrospective Studies
KW - serious mental illness
KW - utilization
AU - H. C. Waters
AU - M. F. Furukawa
AU - S. L. Jorissen
A1 - 
AB - Serious mental illness (SMI) affects 5% of the United States population and is associated with increased morbidity and mortality, and use of high-cost healthcare services including hospitalizations and emergency department visits. Integrating behavioral and physical healthcare may improve care for consumers with SMI, but prior research findings have been mixed. This quantitative retrospective cohort study assessed whether there was a predictive relationship between integrated healthcare clinic enrollment and inpatient and emergency department utilization for consumers with SMI when controlling for demographic characteristics and disease severity. While findings indicated no statistically significant impact of integrated care clinic enrollment on utilization, the sample had lower levels of utilization than would have been expected. Since policy and payment structures continue to support integrated care models, further research on different programs are encouraged, as each setting and practice pattern is unique.
BT - Community mental health journal
C5 - Healthcare Disparities
CP - 8
CY - United States
DO - 10.1007/s10597-018-0297-x
IS - 8
JF - Community mental health journal
N2 - Serious mental illness (SMI) affects 5% of the United States population and is associated with increased morbidity and mortality, and use of high-cost healthcare services including hospitalizations and emergency department visits. Integrating behavioral and physical healthcare may improve care for consumers with SMI, but prior research findings have been mixed. This quantitative retrospective cohort study assessed whether there was a predictive relationship between integrated healthcare clinic enrollment and inpatient and emergency department utilization for consumers with SMI when controlling for demographic characteristics and disease severity. While findings indicated no statistically significant impact of integrated care clinic enrollment on utilization, the sample had lower levels of utilization than would have been expected. Since policy and payment structures continue to support integrated care models, further research on different programs are encouraged, as each setting and practice pattern is unique.
PP - United States
PY - 2018
SN - 1573-2789; 0010-3853
SP - 1101
EP - 1108
EP - 
T1 - Evaluating the Impact of Integrated Care on Service Utilization in Serious Mental Illness
T2 - Community mental health journal
TI - Evaluating the Impact of Integrated Care on Service Utilization in Serious Mental Illness
U1 - Healthcare Disparities
U2 - 29948631
U3 - 10.1007/s10597-018-0297-x
VL - 54
VO - 1573-2789; 0010-3853
Y1 - 2018
ER -