Literature Collection

3181

Do general practitioners believe that their older patients physical symptoms are somatized?

Type: Journal Article

Authors: Christopher Bass, Richard Briggs, Robin Jacoby, Bart Sheehan

Year: 2004

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3182

Do GPs use electronic mental health resources? - a qualitative study

Type: Journal Article

Authors: D. Austin, C. Pier, J. Mitchell, P. Schattner, V. Wade, D. Pierce, B. Klein

Year: 2006

Publication Place: Australia

Abstract: BACKGROUND: The Better Outcomes in Mental Health Care (BOMHC) initiative encourages general practitioners to use electronic mental health resources (EMHRs) during consultation with patients requiring psychological assistance. However, there is little data on GPs' acceptance and use of EMHRs. METHOD: Semistructured interviews were conducted with 27 GPs to determine their attitude toward EMHRs, and their use during consultation with patients. RESULTS: Few GPs reported frequently using EMHRs in consultation. Identified barriers to use included lack of familiarity with information technology, and insufficient knowledge of available resources. Identified advantages of electronic resources included high patient acceptance, time efficiency, and improved quality of information. DISCUSSION: General practitioners recognise several advantages of utilising electronic resources for managing patients with mental illness. However, GPs are not sufficiently familiar with electronic resources to use them effectively. This could be overcome by education.

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3183

Do health educator telephone calls reduce at-risk drinking among older adults in primary care?

Type: Journal Article

Authors: J. C. Lin, M. P. Karno, L. Tang, K. L. Barry, F. C. Blow, J. W. Davis, K. D. Ramirez, S. Welgreen, M. Hoffing, A. A. Moore

Year: 2010

Publication Place: United States

Abstract: BACKGROUND: Alcohol screening and brief intervention for unhealthy alcohol use has not been consistently delivered in primary care as part of preventive healthcare. OBJECTIVE: To explore whether telephone-based intervention delivered by a health educator is efficacious in reducing at-risk drinking among older adults in primary care settings. DESIGN: Secondary analyses of data from a randomized controlled trial. PARTICIPANTS: Subjects randomized to the intervention arm of the trial (n = 310). INTERVENTIONS: Personalized risk reports, advice from physicians, booklet about alcohol and aging, and up to three telephone calls from a health educator. All interventions were completed before the three-month follow-up. MEASUREMENTS: Risk outcomes (at-risk or not at-risk) at 3 and 12 months after enrollment. MAIN RESULTS: In univariate analyses, compared to those who remained at risk, those who achieved not at-risk outcome at 3 months were more likely to be women, Hispanic or non-white, have lower levels of education, consume less alcohol, drink less frequently, and have lower baseline number of risks. In mixed-effects logistic regression models, completing all three health educator calls increased the odds of achieving not at-risk outcome compared to not completing any calls at 3 months (OR 5.31; 95% CI 1.92-14.7; p = 0.001), but not at 12 months (OR 2.01; 95% CI 0.71-5.67; p = 0.18). CONCLUSIONS: Telephone-based intervention delivered by a health educator was moderately efficacious in reducing at-risk drinking at 3 months after enrollment among older adults receiving a multi-faceted intervention in primary care settings; however, the effect was not sustained at 12 months.

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3184

Do interruptions to the continuity of methadone maintenance treatment in specialist addiction settings increase the risk of drug‐related poisoning deaths? A retrospective cohort study

Type: Journal Article

Authors: Louise Durand, Denis O'Driscoll, Fiona Boland, Eamon Keenan, Benedict K. Ryan, Joseph Barry, Kathleen Bennett, Tom Fahey, Gráinne Cousins

Year: 2020

Publication Place: Malden, Massachusetts

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3185

Do lessons learned in a training intervention on web-based health care resources diffuse to nonexposed members in the primary care setting? A comparative study

Type: Journal Article

Authors: Karen Homa, Karen E Schifferdecker, Virginia A. Reed

Year: 2008

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3186

Do Medical Homes Improve Quality of Care for Persons with Multiple Chronic Conditions?

Type: Journal Article

Authors: K. E. Swietek, M. E. Domino, C. Beadles, A. R. Ellis, J. F. Farley, L. R. Grove, C. Jackson, C. A. Dubard

Year: 2018

Publication Place: United States

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3187

Do medical homes increase medication adherence for persons with multiple chronic conditions?

Type: Journal Article

Authors: C. A. Beadles, J. F. Farley, A. R. Ellis, J. C. Lichstein, J. P. Morrissey, C. A. Dubard, M. E. Domino

Year: 2015

Publication Place: United States

Abstract: BACKGROUND: Medications are an integral component of management for many chronic conditions, and suboptimal adherence limits medication effectiveness among persons with multiple chronic conditions (MCC). Medical homes may provide a mechanism for increasing adherence among persons with MCC, thereby enhancing management of chronic conditions. OBJECTIVE: To examine the association between medical home enrollment and adherence to newly initiated medications among Medicaid enrollees with MCC. RESEARCH DESIGN: Retrospective cohort study comparing Community Care of North Carolina medical home enrollees to nonenrollees using merged North Carolina Medicaid claims data (fiscal years 2008-2010). SUBJECTS: Among North Carolina Medicaid-enrolled adults with MCC, we created separate longitudinal cohorts of new users of antidepressants (N=9303), antihypertensive agents (N=12,595), oral diabetic agents (N=6409), and statins (N=9263). MEASURES: Outcomes were the proportion of days covered (PDC) on treatment medication each month for 12 months and a dichotomous measure of adherence (PDC>0.80). Our primary analysis utilized person-level fixed effects models. Sensitivity analyses included propensity score and person-level random-effect models. RESULTS: Compared with nonenrollees, medical home enrollees exhibited higher PDC by 4.7, 6.0, 4.8, and 5.1 percentage points for depression, hypertension, diabetes, and hyperlipidemia, respectively (P's<0.001). The dichotomous adherence measure showed similar increases, with absolute differences of 4.1, 4.5, 3.5, and 4.6 percentage points, respectively (P's<0.001). CONCLUSIONS: Among Medicaid enrollees with MCC, adherence to new medications is greater for those enrolled in medical homes.

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3188

Do mindfulness-based interventions change brain function in people with substance dependence? A systematic review of the fMRI evidence

Type: Journal Article

Authors: V. Lorenzetti, A. Gaillard, E. Beyer, M. Kowalczyk, S. K. Kamboj, V. Manning, J. Gleeson

Year: 2023

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3189

Do missing mental health notes undermine EHRs?

Type: Web Resource

Authors: Lewis Dolan

Year: 2013

Topic(s):

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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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3190

Do naloxone access laws increase outpatient naloxone prescriptions? Evidence from Medicaid

Type: Journal Article

Authors: A. K. Gertner, M. E. Domino, C. S. Davis

Year: 2018

Publication Place: Ireland

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3191

Do out-of-pocket costs influence retention and adherence to medications for opioid use disorder?

Type: Journal Article

Authors: C. Dunphy, C. Peterson, K. Zhang, C. M. Jones

Year: 2021

Abstract:

BACKGROUND: Availability of medications for opioid use disorder (MOUD) has increased during the past two decades but treatment retention and adherence remain low. This study aimed to measure the impact of out-of-pocket buprenorphine cost on treatment retention and adherence among US commercially insured patients. METHODS: Medical payment records from IBM MarketScan were analyzed for 6,439 adults age 18-64 years with commercial insurance who initiated buprenorphine treatment during January 1, 2016 to June 30, 2017. Regression models analyzed the relationship between patients' average daily out-of-pocket buprenorphine cost and buprenorphine retention (at least 80 % days covered by buprenorphine) at three different thresholds (180, 360, and 540 days) and adherence (the number of days of buprenorphine coverage) within each retention threshold. Models controlled for patient demographic and clinical characteristics including age, sex, presence of other substance use disorders, psychiatric and pain diagnoses, and receipt of prescription medications. RESULTS: A one dollar increase in daily out-of-pocket buprenorphine cost was associated with a 12-14 % decrease in the odds of retention and a 5-8 % increase in the number of days without buprenorphine coverage during each analyzed retention threshold. CONCLUSION: Recent policies have attempted to address supply-side barriers to MOUD treatment. This study highlights patient cost-sharing as a demand-side barrier to MOUD. While the average out-of-pocket buprenorphine cost is lower than two decades ago, this study suggests even at current levels such costs decrease retention and adherence among commercially insured patients. Efforts to address demand-side barriers could help maximize the health and social benefits of buprenorphine-based MOUD.

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3192

Do Parents Expect Pediatricians to Pay Attention to Behavioral Health?

Type: Journal Article

Authors: J. J. Larson, S. Lynch, L. B. Tarver, L. Mitchell, E. Frosch, B. Solomon

Year: 2015

Publication Place: United States

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3193

Do patient characteristics and initial progress in treatment moderate the effectiveness of telephone-based continuing care for substance use disorders?

Type: Journal Article

Authors: J. R. McKay, K. G. Lynch, D. S. Shepard, J. Morgenstern, R. F. Forman, H. M. Pettinati

Year: 2005

Publication Place: England

Abstract: AIMS: To determine whether substance use severity, psychiatric severity, social support, self-help attendance or motivation moderated substance use outcomes in a telephone-based continuing care intervention. DESIGN: A randomized study comparing three 12-week continuing care interventions: weekly telephone monitoring and counseling combined with a support group in the first 4 weeks (TEL), twice-weekly individualized relapse prevention (RP) and twice-weekly standard group counseling (STND). METHODS: Following completion of 4-week intensive out-patient programs (IOP), 359 patients with alcohol and/or cocaine dependence were assigned randomly to a continuing care condition and followed quarterly for 12 months. Ten potential moderator variables were examined in separate analyses. Two of these variables reflected pretreatment status, whereas the other variables were focused on performance while in the IOP. A composite risk measure was also constructed from dichotomized versions of seven of these variables, with higher scores indicating greater potential for relapse. The dependent measures were total abstinence and percentage of days abstinent from alcohol and cocaine in each quarter. FINDINGS: Of 40 interaction contrasts that were examined with individual risk indicator measures, only one reached the 0.05 level of significance. Patients with any alcohol use in IOP had a higher percentage of days abstinence in STND than in TEL. In addition, high scores on the composite risk indicator predicted higher total abstinence rates in STND than in TEL, whereas low to moderate scores predicted higher abstinence rates in TEL than in STND. CONCLUSION: For most graduates of IOPs, the combination of brief weekly telephone therapeutic contacts and a support group in the first month produced outcomes that are as good as those obtained in more intensive face-to-face continuing care interventions. However, patients with current dependence on both alcohol and cocaine who make little progress towards achieving the central goals of IOP may have better outcomes if they receive twice-weekly group counseling following IOP.

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3194

Do Patient-Centered Medical Home Access and Care Coordination Measures Reflect the Contribution of All Team Members? A Systematic Review

Type: Journal Article

Authors: A. M. Annis, M. Harris, C. H. Robinson, S. L. Krein

Year: 2016

Publication Place: United States

Abstract: Patient-Centered Medical Home (PCMH) evaluations have primarily focused on primary care providers and not on the primary care team. This systematic literature review examined the extent to which access and care coordination measures in PCMH reflect the involvement of associate care providers (ACPs), which include registered and licensed practical nurses, nursing and medical assistants, clerks, pharmacists, social workers, and dietitians. Among 42 studies, few measures specified ACP roles or linked ACP care to outcomes. Increasing attention on team-based care emphasizes a vital need to reframe measures within a team context.

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3195

Do Patient-Centered Medical Homes Improve Health Behaviors, Outcomes, and Experiences of Low-Income Patients? A Systematic Review and Meta-Analysis

Type: Journal Article

Authors: C. van den Berk-Clark, E. Doucette, F. Rottnek, W. Manard, M. A. Prada, R. Hughes, T. Lawrence, F. D. Schneider

Year: 2018

Publication Place: United States

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3196

Do patients with borderline personality disorder in primary care gain access to mental health services?

Type: Journal Article

Authors: L. Cailhol, R. Rodgers, J. Rieu

Year: 2011

Publication Place: United States

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3197

Do Peer Recovery Specialists Improve Outcomes for Individuals with Substance Use Disorder in an Integrative Primary Care Setting? A Program Evaluation

Type: Journal Article

Authors: T. A. Cos, A. B. LaPollo, M. Aussendorf, J. M. Williams, K. Malayter, D. S. Festinger

Year: 2020

Publication Place: United States

Abstract:

Peer recovery specialists (PRSs) combine their personal experiences with substance use and recovery with clinical skills to support patients in treatment for or recovery from substance use. This paper provides evaluation findings from a SAMHSA-funded program that integrated a PRS team into a primary care clinic to assess the efficacy of PRS support on patients' substance use, healthcare involvement, and criminal justice involvement. PRSs provided a range of services to patients with histories of incarceration and substance use, including facilitating support groups, providing one-on-one individualized support, and navigating services. Data were collected from PRS-supported patients at intake, discharge, and 6 months post-intake. Results revealed reductions in the percentage of patients using substances in the past 30 days, decreased number of days using alcohol, increased engagement in more medical services after program enrollment, increased school enrollment, and increased rates of employment for PRS-supported patients.

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3198

Do Peer Recovery Specialists Improve Outcomes for Individuals with Substance Use Disorder in an Integrative Primary Care Setting? A Program Evaluation

Type: Journal Article

Authors: T. A. Cos, A. B. LaPollo, M. Aussendorf, J. M. Williams, K. Malayter, D. S. Festinger

Year: 2019

Publication Place: United States

Abstract:

Peer recovery specialists (PRSs) combine their personal experiences with substance use and recovery with clinical skills to support patients in treatment for or recovery from substance use. This paper provides evaluation findings from a SAMHSA-funded program that integrated a PRS team into a primary care clinic to assess the efficacy of PRS support on patients' substance use, healthcare involvement, and criminal justice involvement. PRSs provided a range of services to patients with histories of incarceration and substance use, including facilitating support groups, providing one-on-one individualized support, and navigating services. Data were collected from PRS-supported patients at intake, discharge, and 6 months post-intake. Results revealed reductions in the percentage of patients using substances in the past 30 days, decreased number of days using alcohol, increased engagement in more medical services after program enrollment, increased school enrollment, and increased rates of employment for PRS-supported patients.

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3199

Do physicians address other medical problems during preventive gynecologic visits?

Type: Journal Article

Authors: D. Cohen, A. Coco

Year: 2014

Publication Place: United States

Abstract: BACKGROUND: The patient-centered medical home model may be a strategic approach to improve delivery of women's health care and consistently provide women with accessible and comprehensive care. We examined whether primary care physicians (family medicine, internal medicine, and hospital general medicine clinics) and obstetrician-gynecologists differ in scope and the number of medical issues addressed during preventive gynecologic visits. METHODS: We analyzed data from the National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey to characterize visits with a primary diagnosis of gynecological examination or routine cervical Papanicolaou test between 1999 and 2008. We compared the number and type of concurrent nongynecologic diagnoses addressed by primary care physicians and obstetrician-gynecologists during visits. RESULTS: A total of 7882 visits were included, representing 271 million primary visits for Papanicolaou tests. Primary care physicians were 2.41 times more likely to include one or more concurrent medical diagnoses during the preventive gynecologic visit compared with obstetrician-gynecologists (odds ratio, 2.41; 95% confidence interval, 1.63-3.57). CONCLUSIONS: Primary care physicians are significantly more likely to address concurrent medical problems during preventive gynecologic visits compared with obstetrician-gynecologists. These findings demonstrate the vital role of primary care physicians in providing comprehensive health care to women, consistent with principles of the patient-centered medical home model.

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3200

Do physicians who diagnose more mental health disorders generate lower health care costs?

Type: Journal Article

Authors: Thomas L. Campbell, Peter Franks, Kevin Fiscella, Susan H. McDaniel, Jack Zwanziger, Cathleen Mooney, Melony Sorbero

Year: 2000

Publication Place: US: Dowden Health Media

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