TY - JOUR
KW - Bipolar Disorder
KW - Emergency Department Utilization
KW - Mental Health
KW - Physical Health
KW - Schizophrenia
KW - serious mental illness
AU - C. Belson
AU - B. Sheitman
AU - B. Steiner
A1 - 
AB - Patients with Serious Mental Illness (SMI) have high rates of emergency department visits and high premature mortality rates, often due to poor primary care. A model of enhanced primary care services integrated in a behavioral health location is being implemented and studied at the UNC WakeBrook Primary Care Center (UNCWPC). This research was conducted as a retrospective cohort study. ED Visit Utilization before and after establishing care at UNCWPC were calculated for a cohort and a subset of patients. There was a decrease in ED utilization after years 3-4 of enrollment for physical health complaints for the overall cohort (n = 101), from 3.23 to 1.83 visits/person/year, and for patients with multiple physical comorbidities (n = 50), from 4.04 to 2.48 visits/person/year. This study indicated that an enhanced model of primary care can help decrease ED utilization for primary care conditions. The decline was not seen until the patients were well-established.
AD - University of North Carolina School of Medicine, Chapel Hill, NC, USA. connor_belson@med.unc.edu.; UNC Wakebrook Primary Care Center, 107 Sunnybrook Rd, Raleigh, NC, 27610, USA. connor_belson@med.unc.edu.; University of North Carolina at Wakebrook, Raleigh, NC, USA.; UNC Wakebrook Primary Care Center, 107 Sunnybrook Rd, Raleigh, NC, 27610, USA.; University of North Carolina at Wakebrook, Raleigh, NC, USA.; UNC Wakebrook Primary Care Center, 107 Sunnybrook Rd, Raleigh, NC, 27610, USA.
BT - Community mental health journal
C5 - Financing & Sustainability; Healthcare Disparities
CP - 7
DO - 10.1007/s10597-020-00645-0
IS - 7
JF - Community mental health journal
LA - eng
M1 - Journal Article
N2 - Patients with Serious Mental Illness (SMI) have high rates of emergency department visits and high premature mortality rates, often due to poor primary care. A model of enhanced primary care services integrated in a behavioral health location is being implemented and studied at the UNC WakeBrook Primary Care Center (UNCWPC). This research was conducted as a retrospective cohort study. ED Visit Utilization before and after establishing care at UNCWPC were calculated for a cohort and a subset of patients. There was a decrease in ED utilization after years 3-4 of enrollment for physical health complaints for the overall cohort (n = 101), from 3.23 to 1.83 visits/person/year, and for patients with multiple physical comorbidities (n = 50), from 4.04 to 2.48 visits/person/year. This study indicated that an enhanced model of primary care can help decrease ED utilization for primary care conditions. The decline was not seen until the patients were well-established.
PY - 2020
SN - 1573-2789; 0010-3853; 0010-3853
SP - 1311
EP - 1317
EP - 
T1 - The Effects of an Enhanced Primary Care Model for Patients with Serious Mental Illness on Emergency Department Utilization
T2 - Community mental health journal
TI - The Effects of an Enhanced Primary Care Model for Patients with Serious Mental Illness on Emergency Department Utilization
U1 - Financing & Sustainability; Healthcare Disparities
U2 - 32468391
U3 - 10.1007/s10597-020-00645-0
VL - 56
VO - 1573-2789; 0010-3853; 0010-3853
Y1 - 2020
Y2 - Oct
ER -