TY - JOUR
KW - Adolescent
KW - Adult
KW - Facilities and Services Utilization
KW - Female
KW - Health Expenditures
KW - healthcare services cost
KW - healthcare services expenditures
KW - healthcare services utilization
KW - Humans
KW - Male
KW - Medical Expenditure Panel Survey
KW - Mental Disorders/economics/rehabilitation
KW - Mental Health Services/economics/statistics & numerical data
KW - mental illness
KW - Middle Aged
KW - Patient-Centered Care/economics/statistics & numerical data
KW - patient-centered medical home
KW - Young Adult
AU - J. J. Bowdoin
AU - R. Rodriguez-Monguio
AU - E. Puleo
AU - D. Keller
AU - J. Roche
A1 - 
AB - BACKGROUND: The patient-centered medical home (PCMH) model is designed to improve health outcomes while containing the cost of care. However, the evidence is inconclusive. AIMS: The aim of this study was to examine the associations between receipt of care consistent with the PCMH and healthcare services utilization and expenditures for non-elderly adults with mental illness in the USA. METHOD: A surveillance study was conducted using self-reported data for 6908 non-elderly adults with mental illness participating in the 2007-2012 Medical Expenditure Panel Survey. Healthcare services utilization and expenditures were compared for study participants who received care consistent with the PCMH, participants with a non-PCMH usual source of care (USC), and participants without a USC. RESULTS: Differences in utilization and expenditures between participants who received care consistent with the PCMH and participants who had a non-PCMH USC were not statistically significant for any healthcare services category. CONCLUSIONS: Receipt of care consistent with the PCMH was not significantly associated with differences in healthcare services utilization or expenditures compared to having a non-PCMH USC. Research assessing whether the PCMH is cost-effective for non-elderly adults with mental illness is needed.
BT - Journal of mental health (Abingdon, England)
C5 - Financing & Sustainability; Medical Home
CP - 6
CY - England
DO - 10.1080/09638237.2017.1385744
IS - 6
JF - Journal of mental health (Abingdon, England)
N2 - BACKGROUND: The patient-centered medical home (PCMH) model is designed to improve health outcomes while containing the cost of care. However, the evidence is inconclusive. AIMS: The aim of this study was to examine the associations between receipt of care consistent with the PCMH and healthcare services utilization and expenditures for non-elderly adults with mental illness in the USA. METHOD: A surveillance study was conducted using self-reported data for 6908 non-elderly adults with mental illness participating in the 2007-2012 Medical Expenditure Panel Survey. Healthcare services utilization and expenditures were compared for study participants who received care consistent with the PCMH, participants with a non-PCMH usual source of care (USC), and participants without a USC. RESULTS: Differences in utilization and expenditures between participants who received care consistent with the PCMH and participants who had a non-PCMH USC were not statistically significant for any healthcare services category. CONCLUSIONS: Receipt of care consistent with the PCMH was not significantly associated with differences in healthcare services utilization or expenditures compared to having a non-PCMH USC. Research assessing whether the PCMH is cost-effective for non-elderly adults with mental illness is needed.
PP - England
PY - 2018
SN - 1360-0567; 0963-8237
SP - 574
EP - 582
EP - 
T1 - The patient-centered medical home model: healthcare services utilization and cost for non-elderly adults with mental illness
T2 - Journal of mental health (Abingdon, England)
TI - The patient-centered medical home model: healthcare services utilization and cost for non-elderly adults with mental illness
U1 - Financing & Sustainability; Medical Home
U2 - 28990831
U3 - 10.1080/09638237.2017.1385744
VL - 27
VO - 1360-0567; 0963-8237
Y1 - 2018
ER -