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Opioids & SU
The Literature Collection contains over 11,000 references for published and grey literature on the integration of behavioral health and primary care. Learn More
Use the Search feature below to find references for your terms across the entire Literature Collection, or limit your searches by Authors, Keywords, or Titles and by Year, Type, or Topic. View your search results as displayed, or use the options to: Show more references per page; Sort references by Title or Date; and Refine your search criteria. Expand an individual reference to View Details. Full-text access to the literature may be available through a link to PubMed, a DOI, or a URL. References may also be exported for use in bibliographic software (e.g., EndNote, RefWorks, Zotero).
11231 Results
281
A demonstration project for using the electronic health record to identify and treat tobacco users
Type: Journal Article
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.
Topic(s):
HIT & Telehealth
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Reference Links: View the PubMed citation for A demonstration project for using the electronic health record to identify and treat tobacco users
282
A demonstration project implementing extended-release naltrexone in Los Angeles County
Type: Journal Article
Year: 2016
Topic(s):
Opioids & Substance Use
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Reference Links:
View the DOI record for A demonstration project implementing extended-release naltrexone in Los Angeles County
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View the PubMed citation for A demonstration project implementing extended-release naltrexone in Los Angeles County284
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
Year: 2014
Topic(s):
Healthcare Disparities
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285
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
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.
Topic(s):
Financing & Sustainability
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, Medical Home
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288
A Facility-Wide Plan to Increase Access to Medication for Opioid Use Disorder in Primary Care and General Mental Health Settings
Type: Journal Article
Year: 2021
Topic(s):
Education & Workforce
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, Healthcare Disparities
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, Opioids & Substance Use
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291
A Feasibility Study of Primary Care Liaisons: Linking Older Adults to Community Resources
Type: Journal Article
Year: 2021
Topic(s):
Education & Workforce
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, Healthcare Disparities
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Reference Links:
View the DOI record for A Feasibility Study of Primary Care Liaisons: Linking Older Adults to Community Resources
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View the PubMed citation for A Feasibility Study of Primary Care Liaisons: Linking Older Adults to Community Resources293
A few words on 'Which medications are suitable for agonist drug maintenance?'
Type: Journal Article
Year: 2016
Publication Place: England
Topic(s):
Opioids & Substance Use
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Reference Links:
View the DOI record for A few words on 'Which medications are suitable for agonist drug maintenance?'
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View the PubMed citation for A few words on 'Which medications are suitable for agonist drug maintenance?'294
A Financial Model for Team-Based Opioid Use Disorder Treatment
Type: Journal Article
Year: 2020
Publication Place: United States
Topic(s):
Education & Workforce
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, Financing & Sustainability
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, Opioids & Substance Use
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Reference Links:
View the DOI record for A Financial Model for Team-Based Opioid Use Disorder Treatment
View DOI Record
View the PubMed citation for A Financial Model for Team-Based Opioid Use Disorder Treatment