TY - JOUR
KW - care coordination
KW - Primary care medical home
KW - serious mental illness
AU - M. E. Garcia
AU - E. L. Goldman
AU - M. Thomas
AU - S. Chan
AU - F. Mitsuishi
AU - D. Schillinger
AU - C. Mangurian
A1 - 
AB - To assess whether primary care medical homes (PCMHs) are accurately identified for patients receiving care in a specialty mental health clinic within an integrated public delivery system. This study reviewed the electronic records of patients in a large urban mental health clinic. The study defined 'matching PCMH' if the same primary care clinic was listed in both the mental health and medical electronic records. This study designated all others as 'PCMH unknown.' This study assessed whether demographic factors predicted PCMH status using chi-square tests. Among 229 patients (66% male; mean age 49; 36% White, 30% Black, and 17% Asian), 72% had a matching PCMH. Sex, age, race, psychiatric diagnosis, and psychotropic medication use were not associated with matching PCMH. To improve care coordination and health outcomes for people with severe mental illness, greater efforts are needed to ensure the accurate designation of PCMHs in all mental health patient electronic records.
AD - Center for Aging in Diverse Communities, Multiethnic Health Equity Research Center, Division of General Internal Medicine, Department of Medicine, University of California, 1701 Divisadero St. Room 536, San Francisco, CA, USA. maria.garcia@ucsf.edu.; Division of General Internal Medicine, Department of Medicine, San Francisco General Hospital, University of California, San Francisco, CA, USA.; Department of Epidemiology, University of California, Berkeley, CA, USA.; Department of Medicine, University of California, Davis, CA, USA.; Department of Psychiatry, University of California, San Francisco, CA, USA.; Division of General Internal Medicine, Department of Medicine, San Francisco General Hospital, University of California, San Francisco, CA, USA.; Department of Psychiatry, San Francisco General Hospital, University of California, San Francisco, CA, USA.
BT - The Psychiatric quarterly
C5 - Healthcare Disparities; Medical Home
CY - United States
DO - 10.1007/s11126-020-09829-z
JF - The Psychiatric quarterly
LA - eng
M1 - Journal Article
N2 - To assess whether primary care medical homes (PCMHs) are accurately identified for patients receiving care in a specialty mental health clinic within an integrated public delivery system. This study reviewed the electronic records of patients in a large urban mental health clinic. The study defined 'matching PCMH' if the same primary care clinic was listed in both the mental health and medical electronic records. This study designated all others as 'PCMH unknown.' This study assessed whether demographic factors predicted PCMH status using chi-square tests. Among 229 patients (66% male; mean age 49; 36% White, 30% Black, and 17% Asian), 72% had a matching PCMH. Sex, age, race, psychiatric diagnosis, and psychotropic medication use were not associated with matching PCMH. To improve care coordination and health outcomes for people with severe mental illness, greater efforts are needed to ensure the accurate designation of PCMHs in all mental health patient electronic records.
PP - United States
PY - 2020
SN - 1573-6709; 0033-2720
T1 - Accuracy of Primary Care Medical Home Designation in a Specialty Mental Health Clinic
T2 - The Psychiatric quarterly
TI - Accuracy of Primary Care Medical Home Designation in a Specialty Mental Health Clinic
U1 - Healthcare Disparities; Medical Home
U2 - 32829448
U3 - 10.1007/s11126-020-09829-z
VO - 1573-6709; 0033-2720
Y1 - 2020
Y2 - Aug 23
ER -