Literature Collection

261

A cultural change in the management of mental illness.

Type: Journal Article

Authors: Mohammed Ahmed Rashid

Year: 2013

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262

A Curriculum for an Interprofessional Seminar on Integrated Primary Care: Developing Competencies for Interprofessional Collaborative Practice

Type: Journal Article

Authors: R. H. Rozensky, C. L. Grus, J. L. Goodie, L. Bonin, B. D. Carpenter, B. F. Miller, K. M. Ross, B. D. Rybarczyk, A. Stewart, S. H. McDaniel

Year: 2018

Publication Place: United States

Abstract: Health care is increasingly delivered through team-based, collaborative strategies with interprofessional education as an important mechanism for building interprofessional practice competencies. This paper describes an Interprofessional Seminar on Integrated Primary Care (IS-IPC) designed to meet this educational need with interprofessional team-based learning as the foundation of an iterative process such that education and practice inform one another. The IS-IPC can be used to educate an interprofessional group of learners about key topics relevant to working together in integrated primary care. The IS-IPC describes steps in developing an interprofessional seminar, common challenges, and their solutions in creating interprofessional learning experiences, and eight foundational content modules containing an outline and curricular resources. The IS-IPC facilitates interprofessional educator partnerships at the local level and can be customized to fit the local environment, pedagogical philosophy, and learning objectives.

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263

A Danish cost-effectiveness model of escitalopram in comparison with citalopram and venlafaxine as first-line treatments for major depressive disorder in primary care

Type: Journal Article

Authors: J. Sorensen, K. B. Stage, N. Damsbo, A. Le Lay, M. E. Hemels

Year: 2007

Publication Place: Norway

Abstract: The objective of this study was to model the cost-effectiveness of escitalopram in comparison with generic citalopram and venlafaxine in primary care treatment of major depressive disorder (baseline scores 22-40 on the Montgomery-Asberg Depression Rating Scale, MADRS) in Denmark. A three-path decision analytic model with a 6-month horizon was used. All patients started at the primary care path and were referred to outpatient or inpatient secondary care in the case of insufficient response to treatment. Model inputs included drug-specific probabilities derived from systematic literature review, ad-hoc survey and expert opinion. Main outcome measures were remission defined as MADRS < or = 12 and treatment costs. Analyses were conducted from healthcare system and societal perspectives. The human capital approach was used to estimate societal cost of lost productivity. Costs were reported in 2004 DDK. The expected overall 6-month remission rate was higher for escitalopram (64.1%) than citalopram (58.9%). From both perspectives, the total expected cost per successfully treated patient was lower for escitalopram (DKK 22,323 healthcare, DKK 72,399 societal) than for citalopram (DKK 25,778 healthcare, DKK 87,786 societal). Remission rates and costs were similar for escitalopram and venlafaxine. Robustness of the findings was verified in multivariate sensitivity analyses. For patients in primary care, escitalopram appears to be a cost-effective alternative to (generic) citalopram, with greater clinical benefit and cost-savings, and similar in cost-effectiveness to venlafaxine.

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264

A day in the life of older adults: substance use facts

Type: Government Report

Authors: M. Mattson, R. N. Lipari, C. Hays, S. L. Van Horn

Year: 2017

Publication Place: Rockville, MD

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,

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This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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265

A decade-long path to integration

Type: Journal Article

Authors: D. Grantham

Year: 2011

Publication Place: United States

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266

A Demonstration Of Shared Decision Making In Primary Care Highlights Barriers To Adoption And Potential Remedies

Type: Journal Article

Authors: M. W. Friedberg, K. Van Busum, R. Wexler, M. Bowen, E. C. Schneider

Year: 2013

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267

A demonstration project for using the electronic health record to identify and treat tobacco users

Type: Journal Article

Authors: C. Lindholm, R. Adsit, P. Bain, P. M. Reber, T. Brein, L. Redmond, S. S. Smith, M. C. Fiore

Year: 2010

Publication Place: United States

Abstract: BACKGROUND: While the majority of smokers visit a primary care physician each year, only a small proportion of them receive evidence-based tobacco dependence treatment. The electronic health record (EHR) provides an opportunity to prompt clinicians to deliver tobacco dependence treatment in primary care. METHODS: Over 1 year, Dean Health Systems worked with the University of Wisconsin School of Medicine and Public Health to modify the existing Dean EHR system (Epic Systems Corp, Verona, Wisconsin) to improve identification and treatment of adult smokers visiting primary care clinics. Modifications included evidence-based prompts that helped guide medical assistants to identify smokers and clinicians to deliver a brief tobacco cessation intervention (medication and Wisconsin Tobacco Quit Line referral). Eighteen primary care clinics provided data 1 year before and 1 year after implementing the EHR modifications. RESULTS: A higher percentage of adult patients had their tobacco use status identified after EHR modification compared to pre-implementation (71.6% versus 78.4%, P < .001). During the post-implementation year, 6.3% of adult smokers were prescribed tobacco cessation medication, 2.5% of adult smokers had documentation of counseling, and 1.5% of adult smokers had counseling billed (pre-implementation data not available). CONCLUSIONS: This demonstration project showed that a large health care system can increase the delivery of tobacco dependence treatment interventions (increased identification of smokers and relatively high rates of delivering specific tobacco dependence clinical interventions) building on an existing EHR platform. The project demonstrated that brief, evidence-based tobacco dependence interventions can be incorporated into primary care, especially when the EHR is used to improve clinic workflow.

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268

A demonstration project implementing extended-release naltrexone in Los Angeles County

Type: Journal Article

Authors: Sarah J. Cousins, Loretta Denering, Desiree Crevecoeur-MacPhail, John Viernes, Wayne Sugita, James Barger, Tina Kim, Stefanie Weimann, Richard A. Rawson

Year: 2016

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269

A descriptive analysis of urine drug screen results in patients with opioid use disorder managed in a primary care setting

Type: Journal Article

Authors: Halle G. Sobel, Jill S. Warrington, Samuel Francis-Fath, Abigail M. Crocker, Claudia A. Berger

Year: 2021

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270

A descriptive qualitative study of the roles of family members in older men's depression treatment from the perspectives of older men and primary care providers

Type: Journal Article

Authors: L. Hinton, E. C. Apesoa-Varano, J. Unutzer, M. Dwight-Johnson, M. Park, J. C. Barker

Year: 2014

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271

A Difference-in-Difference Analysis of Changes in Quality, Utilization and Cost Following the Colorado Multi-Payer Patient-Centered Medical Home Pilot

Type: Journal Article

Authors: M. B. Rosenthal, S. Alidina, M. W. Friedberg, S. J. Singer, D. Eastman, Z. Li, E. C. Schneider

Year: 2016

Publication Place: United States

Abstract: BACKGROUND: Research on the effects of patient-centered medical homes on quality and cost of care is mixed, so further study is needed to understand how and in what contexts they are effective. OBJECTIVE: We aimed to evaluate effects of a multi-payer pilot promoting patient-centered medical home implementation in 15 small and medium-sized primary care groups in Colorado. DESIGN: We conducted difference-in-difference analyses, comparing changes in utilization, costs, and quality between patients attributed to pilot and non-pilot practices. PARTICIPANTS: Approximately 98,000 patients attributed to 15 pilot and 66 comparison practices 2 years before and 3 years after the pilot launch. MAIN MEASURES: Healthcare Effectiveness Data and Information Set (HEDIS) derived measures of diabetes care, cancer screening, utilization, and costs to payers. KEY RESULTS: At the end of two years, we found a statistically significant reduction in emergency department use by 1.4 visits per 1000 member months, or approximately 7.9 % (p = 0.02). At the end of three years, pilot practices sustained this difference with 1.6 fewer emergency department visits per 1000 member months, or a 9.3 % reduction from baseline (p = 0.01). Emergency department costs were lower in the pilot practices after two (13.9 % reduction, p < 0.001) and three years (11.8 % reduction, p = 0.001). After three years, compared to control practices, primary care visits in the pilot practices decreased significantly (1.5 % reduction, p = 0.02). The pilot was associated with increased cervical cancer screening after two (12.5 % increase, p < 0.001) and three years (9.0 % increase, p < 0.001), but lower rates of HbA1c testing in patients with diabetes (0.7 % reduction at three years, p = 0.03) and colon cancer screening (21.1 % and 18.1 % at two and three years, respectively, p < 0.001). For patients with two or more comorbidities, similar patterns of association were found, except that there was also a reduction in ambulatory care sensitive inpatient admissions (10.3 %; p = 0.05). CONCLUSION: Our findings suggest that a multi-payer, patient-centered medical home initiative that provides financial and technical support to participating practices can produce sustained reductions in utilization with mixed results on process measures of quality.

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272

A different ball game altogether: Staff views on a primary mental healthcare service

Type: Journal Article

Authors: S. Cook, A. Howe, J. Veal

Year: 2004

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273

A discourse analysis on how service providers in non-medical primary health and social care services understand their roles in mental health care

Type: Journal Article

Authors: Penelope Fay Mitchell

Year: 2009

Publication Place: Netherlands: Elsevier Science

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274

A Facility-Wide Plan to Increase Access to Medication for Opioid Use Disorder in Primary Care and General Mental Health Settings

Type: Journal Article

Authors: J. F. Spelman, E. L. Edens, S. Maya, B. A. Moore, A. Boggs, R. R. MacLean, P. Ackland, W. C. Becker, D. Lynch, M. Garcia-Vassallo, A. L. Burgo, M. I. Rosen, A. J. Gordon

Year: 2021

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275

A Family Engagement Toolkit

Type: Government Report

Authors: Trying Together

Year: 2020

Publication Place: Pittsburgh, PA

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, ,

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This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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276

A Family-Based Collaborative Care Model for Treatment of Depressive and Anxiety Symptoms in Perinatal Women: Results From a Pilot Study

Type: Journal Article

Authors: F. Cluxton-Keller, A. Olson

Year: 2023

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277

A Feasibility Study of Primary Care Liaisons: Linking Older Adults to Community Resources

Type: Journal Article

Authors: A. M. Boll, M. R. Ensey, K. A. Bennett, M. P. O'Leary, B. M. Wise-Swanson, A. M. Verrall, M. V. Vitiello, B. B. Cochrane, E. A. Phelan

Year: 2021

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278

A Federally Qualified Health Center and Certified Community Behavioral Health Clinic Partnership in Rural Missouri

Type: Government Report

Authors: Ashley Jasko, Meryl Schulman

Year: 2024

Publication Place: Hamilton, NJ

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, ,

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This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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279

A few words on 'Which medications are suitable for agonist drug maintenance?'

Type: Journal Article

Authors: S. Shoptaw

Year: 2016

Publication Place: England

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280

A Financial Model for Team-Based Opioid Use Disorder Treatment

Type: Journal Article

Authors: M. Farrar, Z. White, S. Hulkower, E. B. Fagan, C. G. Wilson

Year: 2020

Publication Place: United States

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