TY - JOUR
KW - Delivery of Health Care, Integrated
KW - Health Services Accessibility
KW - Hispanic or Latino
KW - Humans
KW - Medicaid
KW - Mental Health
KW - Patient Protection and Affordable Care Act
KW - United States
KW - Affordable Care Act
KW - Community Health Centers
KW - Hispanic-serving organizations
KW - Hispanics
KW - integrated care
AU - R. Rosales
AU - R. Calvo
A1 - 
AB - BACKGROUND: The Patient Protection and Affordable Care Act increased funding for integrated care to improve access to quality health care among underserved populations. There is evidence that integrated care decreases inequities in access and quality of mental health care among Hispanic clients. Increasing integrated care at Hispanic-Serving Organizations may help to eliminate mental health service disparities among Hispanic clients. METHOD: Using organizational responses from the 2014 and 2016 waves of the National Mental Health Service survey, this study conducted multivariate logistic analyses to assess whether the ACA policies related to integrated care increased the provision of integrated addictions treatment and primary care at mental health Hispanic-Serving Organizations, relative to Mainstream Organizations. RESULTS: Findings showed that Hispanic-Serving Organizations (54.4%) were less likely to provide integrated health services than Mainstream Organizations (59.1%) after the ACA. However, federal funding to help organizations transition into integrated care services (AOR = 1.74, p = 0.01) and accepting Medicaid payments (AOR = 1.59, p = 0.01) increased the provision of integrated care services at Hispanic-Serving Organizations over time. CONCLUSIONS: Health care policies that increase funding to adopt integrated health services at community Hispanic-Serving Organizations may help decrease inequities in mental health access for Hispanics in the United States.
AD - Department of Behavioral & Social Sciences, Center for Alcohol and Addictions Studies, Brown University School of Public Health, 121 South Main Street, 4th Floor, Providence, RI, 02903, USA. Robert_rosales@brown.edu.; Boston College, School of Social Work, McGuinn Hall, 140 Commonwealth Avenue, Chestnut Hill, MA, 02467, USA.
BT - BMC health services research
C5 - Financing & Sustainability; Healthcare Disparities
CP - 1
DO - 10.1186/s12913-021-06198-6
IS - 1
JF - BMC health services research
LA - eng
M1 - Journal Article
N2 - BACKGROUND: The Patient Protection and Affordable Care Act increased funding for integrated care to improve access to quality health care among underserved populations. There is evidence that integrated care decreases inequities in access and quality of mental health care among Hispanic clients. Increasing integrated care at Hispanic-Serving Organizations may help to eliminate mental health service disparities among Hispanic clients. METHOD: Using organizational responses from the 2014 and 2016 waves of the National Mental Health Service survey, this study conducted multivariate logistic analyses to assess whether the ACA policies related to integrated care increased the provision of integrated addictions treatment and primary care at mental health Hispanic-Serving Organizations, relative to Mainstream Organizations. RESULTS: Findings showed that Hispanic-Serving Organizations (54.4%) were less likely to provide integrated health services than Mainstream Organizations (59.1%) after the ACA. However, federal funding to help organizations transition into integrated care services (AOR = 1.74, p = 0.01) and accepting Medicaid payments (AOR = 1.59, p = 0.01) increased the provision of integrated care services at Hispanic-Serving Organizations over time. CONCLUSIONS: Health care policies that increase funding to adopt integrated health services at community Hispanic-Serving Organizations may help decrease inequities in mental health access for Hispanics in the United States.
PY - 2021
SN - 1472-6963; 1472-6963
SP - 186
T1 - The Affordable Care Act: Policy predictors of integrated care between Hispanic-serving and mainstream mental health organizations
T2 - BMC health services research
TI - The Affordable Care Act: Policy predictors of integrated care between Hispanic-serving and mainstream mental health organizations
U1 - Financing & Sustainability; Healthcare Disparities
U2 - 33639952
U3 - 10.1186/s12913-021-06198-6
VL - 21
VO - 1472-6963; 1472-6963
Y1 - 2021
Y2 - Feb 28
ER -