TY - JOUR
KW - Depression
KW - Emergency department visits
KW - patient-centered medical home
AU - K. R. Hearld
AU - L. R. Hearld
AU - A . Y. Landry
AU - H. Budhwani
A1 - 
AB - The patient-centered medical home (PCMH) has increasingly been touted as one means of integrating behavioral health and primary care and more holistically caring for patients with chronic disease. With its whole person orientation, the PCMH presents an opportunity to reduce emergency department visits for patients with depression by focusing on the patient and his/her health care needs, facilitating communication among providers and patients, and improving patients' access to care providers across settings. This study examines the relationship between PCMH capacity - defined as the ability to offer a service identified as a component part of the PCMH - and the number of emergency department visits for patients with depression. Health plan claims data, self-report data from physician practices on their PCMH characteristics, and the Area Resource File were analyzed. Results show that overall PCMH capacity is associated with fewer emergency department visits for patients with depression, and interpersonal aspects of the PCMH in particular, were associated with fewer emergency department visits while technical capabilities were not. Interpersonal activities that facilitate care coordination, patient engagement, and connect patients with community resources might be more effective in keeping patients out of the emergency department for unnecessary reasons as compared to technical activities focused on reporting and information management.
AD - 1 Department of Health Services Administration For Budhwani, University of Alabama at Birmingham, Birmingham, AL, USA.; 1 Department of Health Services Administration For Budhwani, University of Alabama at Birmingham, Birmingham, AL, USA.; 1 Department of Health Services Administration For Budhwani, University of Alabama at Birmingham, Birmingham, AL, USA.; 2 Department of Health Care Organization and Policy, University of Alabama at Birmingham, Birmingham, AL, USA.
BT - Health services management research
C5 - Financing & Sustainability; Medical Home
CP - 1
CY - England
DO - 10.1177/0951484818794340
IS - 1
JF - Health services management research
M1 - Journal Article
N2 - The patient-centered medical home (PCMH) has increasingly been touted as one means of integrating behavioral health and primary care and more holistically caring for patients with chronic disease. With its whole person orientation, the PCMH presents an opportunity to reduce emergency department visits for patients with depression by focusing on the patient and his/her health care needs, facilitating communication among providers and patients, and improving patients' access to care providers across settings. This study examines the relationship between PCMH capacity - defined as the ability to offer a service identified as a component part of the PCMH - and the number of emergency department visits for patients with depression. Health plan claims data, self-report data from physician practices on their PCMH characteristics, and the Area Resource File were analyzed. Results show that overall PCMH capacity is associated with fewer emergency department visits for patients with depression, and interpersonal aspects of the PCMH in particular, were associated with fewer emergency department visits while technical capabilities were not. Interpersonal activities that facilitate care coordination, patient engagement, and connect patients with community resources might be more effective in keeping patients out of the emergency department for unnecessary reasons as compared to technical activities focused on reporting and information management.
PP - England
PY - 2019
SN - 1758-1044; 0951-4848
SP - 26
EP - 35
EP - 
T1 - Evidence that patient-centered medical homes are effective in reducing emergency department admissions for patients with depression
T2 - Health services management research
TI - Evidence that patient-centered medical homes are effective in reducing emergency department admissions for patients with depression
U1 - Financing & Sustainability; Medical Home
U2 - 30149725
U3 - 10.1177/0951484818794340
VL - 32
VO - 1758-1044; 0951-4848
Y1 - 2019
Y2 - Feb
ER -