Literature Collection

3241

Does symptom severity matter in stepped and collaborative care for depression?

Type: Journal Article

Authors: B. Watzke, D. Heddaeus, M. Steinmann, A. Daubmann, K. Wegscheider, M. Harter

Year: 2020

Publication Place: Netherlands

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3242

Does teaching an entire nursing degree rurally have more workforce impact than rural placements?

Type: Journal Article

Authors: D. Playford, B. Wheatland, A. Larson

Year: 2010

Publication Place: Australia

Abstract: Education plays a key role in recruitment of health workforce to rural and remote locations. In Australia, Schools of Nursing have set up a variety of educational programmes to encourage rural workforce choices. These programmes include rural campuses and short-term rural placement programmes out of urban campuses. This study compares the relative workforce impacts of rural campus versus short-term rural placements out of urban campus. The single outcome measure - rural or urban location after graduation - showed that the rural school graduated a significantly higher proportion of rural-working graduates (chi(2) 4.46, p = 0.04). However there was no difference in the rural workforce choices of students from rural backgrounds, irrespective of their university location (chi(2) = 1.45, p = 0.23). We conclude that both rural universities and affirmative action for selecting rural students into nursing programmes are effective workforce strategies, but that rural campuses have the added benefit of encouraging under-represented rural students to access university education.

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3243

Does the integration of behavioral health services in a primary care practice lead to improved outcomes in patients with PTSD?

Type: Journal Article

Authors: Angelina Cerimele, Tiana Ibarra Yamamoto, Kyle Walsh, Savannah Wilkinson, Jeremy A. Ginoza

Year: 2023

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3244

Does the Patient-centered Medical Home Model Change Staffing and Utilization in the Community Health Centers?

Type: Journal Article

Authors: J. Park, X. Wu, B. K. Frogner, P. Pittman

Year: 2018

Publication Place: United States

Abstract: BACKGROUND: Few studies have looked under the hood of practice redesign to understand whether and, if so, how staffing changed with the adoption of patient-centered medical home (PCMH), and whether these staffing changes impacted utilization. OBJECTIVES: To examine the workforce transformation occurring in community health centers that have achieved PCMH status, and to assess the relationship of those changes to utilization, as measured by the number of visits. RESEARCH DESIGN, SUBJECTS, MEASURES: Using a difference-in-differences approach, we compared staffing and utilization outcomes in 450 community health centers that had adopted a PCMH model between 2007 and 2013 to a matched sample of 243 nonadopters located in the 50 states and the District of Columbia. RESULTS: We found that adopting a PCMH model was significantly associated with a growth in use of advanced practice staff (nurse practitioners and physician assistants) [0.53 full-time equivalent (FTE), 8.77%; P<0.001], other medical staff (medical assistants, nurse aides, and quality assurance staff) (1.23 FTE, 7.46%; P=0.001), mental health/substance abuse staff (0.73 FTE, 17.63%; P=0.005), and enabling service staff (case managers and health educators) (0.36 FTE, 6.14%; P=0.079), but not primary care physicians or nurses. We did not observe a significant increase in utilization, as measured in total number of visits per year. However, the visits marginally attributed to advanced practice staff (539 FTE, 0.89%; P=0.037) and mental health/substance abuse staff (353 FTE, 0.59%; P=0.051) significantly increased. CONCLUSIONS: Our findings suggest that the implementation of PCMH actively reengineers staff composition and this, in turn, results in changes in marginal utilization by each staff type.

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3245

Does the Patient-centered Medical Home Model Change Staffing and Utilization in the Community Health Centers?

Type: Journal Article

Authors: J. Park, X. Wu, B. K. Frogner, P. Pittman

Year: 2018

Publication Place: United States

Abstract: BACKGROUND: Few studies have looked under the hood of practice redesign to understand whether and, if so, how staffing changed with the adoption of patient-centered medical home (PCMH), and whether these staffing changes impacted utilization. OBJECTIVES: To examine the workforce transformation occurring in community health centers that have achieved PCMH status, and to assess the relationship of those changes to utilization, as measured by the number of visits. RESEARCH DESIGN, SUBJECTS, MEASURES: Using a difference-in-differences approach, we compared staffing and utilization outcomes in 450 community health centers that had adopted a PCMH model between 2007 and 2013 to a matched sample of 243 nonadopters located in the 50 states and the District of Columbia. RESULTS: We found that adopting a PCMH model was significantly associated with a growth in use of advanced practice staff (nurse practitioners and physician assistants) [0.53 full-time equivalent (FTE), 8.77%; P<0.001], other medical staff (medical assistants, nurse aides, and quality assurance staff) (1.23 FTE, 7.46%; P=0.001), mental health/substance abuse staff (0.73 FTE, 17.63%; P=0.005), and enabling service staff (case managers and health educators) (0.36 FTE, 6.14%; P=0.079), but not primary care physicians or nurses. We did not observe a significant increase in utilization, as measured in total number of visits per year. However, the visits marginally attributed to advanced practice staff (539 FTE, 0.89%; P=0.037) and mental health/substance abuse staff (353 FTE, 0.59%; P=0.051) significantly increased. CONCLUSIONS: Our findings suggest that the implementation of PCMH actively reengineers staff composition and this, in turn, results in changes in marginal utilization by each staff type.

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3246

Does the patient-centred medical home work? A critical synthesis of research on patient-centred medical homes and patient-related outcomes

Type: Journal Article

Authors: Jeffrey A. Alexander, Daniel Bae

Year: 2012

Publication Place: United Kingdom

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3247

Does the Primary Care Behavioral Health Model Reduce Emergency Department Visits?

Type: Journal Article

Authors: N. Serrano, R. Prince, M. Fondow, K. Kushner

Year: 2018

Publication Place: United States

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3248

Does training in motivational interviewing for community pharmacists improve outcomes for methadone patients? A cluster randomised controlled trial

Type: Journal Article

Authors: M. Jaffray, C. Matheson, C. M. Bond, A. J. Lee, D. J. McLernon, A. Johnstone, L. Skea, B. Davidson

Year: 2014

Publication Place: England

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3249

Does use of primary care-based behavioral health programs differ by race and ethnicity? Evidence from a multi-site collaborative care model

Type: Journal Article

Authors: B. Kovachy, T. Chang, C. Vogeli, S. Tolland, S. Garrels, B. P. Forester, V. Fung

Year: 2023

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3250

Don Bloch Award, 2013.

Type: Journal Article

Authors: Frank deGruy

Year: 2014

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3251

Don Bloch's vision for Collaborative Family Health Care: Progress and next steps

Type: Journal Article

Authors: C. J. Peek

Year: 2015

Publication Place: United States

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3252

Don Bloch's vision: A commentary

Type: Journal Article

Authors: W. J. Doherty

Year: 2015

Publication Place: United States

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3253

Dreamland: The True Tale of America's Opiate Epidemic

Type: Book

Authors: Sam Quinones

Year: 2015

Publication Place: New York

Topic(s):

, ,

Disclaimer:

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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3254

Drive Time to Addiction Treatment Facilities Providing Contingency Management across Rural and Urban Census Tracts in 6 US States

Type: Journal Article

Authors: P. J. Joudrey, K. Chen, B. J. Oldfield, E. Biegacki, D. A. Fiellin

Year: 2023

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3255

Drug Overdose Deaths in the United States

Type: Web Resource

Authors: NORC at the University of Chicago

Year: 2021

Topic(s):

, ,

Disclaimer:

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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3256

Drug Abuse Warning Network (DAWN): Alcohol-Related ED Visits Short Report

Type: Web Resource

Authors: Substance Abuse and Mental Health Services Administration

Year: 2024

Publication Place: Rockville, MD

Topic(s):

,

Disclaimer:

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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3257

Drug Abuse Warning Network (DAWN): Findings from Drug-Related Emergency Department Visits 2022

Type: Web Resource

Authors: Substance Abuse and Mental Health Services Administration

Year: 2023

Publication Place: Rockville, MD

Topic(s):

,

Disclaimer:

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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3258

Drug consumption facility as part of a primary health care centre for problem drug users - which clients are attracted?

Type: Journal Article

Authors: N. Scherbaum, M. Specka, J. Bombeck, B. Marrziniak

Year: 2009

Publication Place: Netherlands

Abstract: BACKGROUND: To investigate whether users of a drug consumption facility (DCF) established as part of a health care centre for problem drug users fulfilled entry criteria, especially public drug consumption, risky drug-application and housing problems. We also investigated whether the drug consumption facility attracted hard-to-reach opiate users who usually do not use the health care system. METHODS: Structured interviews were carried out with 129 problem drug users beginning attendance at a drug consumption facility. RESULTS: Median length of the current episode of regular heroin use was 3 weeks. Sixty-seven per cent of clients had been in addiction specific treatment or had left prison during the previous 3 months. Regarding behaviour in the last month, 53% reported drug use in public, 53% use of non-sterile equipment or water, 22% needle sharing, 8% reported an emergency admission to hospital, and 43% were living in unstable accommodation. Only 10% of clients had never received treatment for their drug use and 87% were currently in contact with psychosocial services. CONCLUSIONS: The majority of clients were chronic opiate users with high rates of risk behaviour. However, they did have recent contact with the drug treatment system. DCFs may be particularly important for opiate users after prison or treatment and/or for those with unstable accommodation.

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3259

Drug dependence, a chronic medical illness: implications for treatment, insurance, and outcomes evaluation

Type: Journal Article

Authors: A. T. McLellan, D. C. Lewis, C. P. O'Brien, H. D. Kleber

Year: 2000

Publication Place: United States

Abstract: The effects of drug dependence on social systems has helped shape the generally held view that drug dependence is primarily a social problem, not a health problem. In turn, medical approaches to prevention and treatment are lacking. We examined evidence that drug (including alcohol) dependence is a chronic medical illness. A literature review compared the diagnoses, heritability, etiology (genetic and environmental factors), pathophysiology, and response to treatments (adherence and relapse) of drug dependence vs type 2 diabetes mellitus, hypertension, and asthma. Genetic heritability, personal choice, and environmental factors are comparably involved in the etiology and course of all of these disorders. Drug dependence produces significant and lasting changes in brain chemistry and function. Effective medications are available for treating nicotine, alcohol, and opiate dependence but not stimulant or marijuana dependence. Medication adherence and relapse rates are similar across these illnesses. Drug dependence generally has been treated as if it were an acute illness. Review results suggest that long-term care strategies of medication management and continued monitoring produce lasting benefits. Drug dependence should be insured, treated, and evaluated like other chronic illnesses. JAMA. 2000;284:1689-1695.

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3260

Drug Diversion Toolkit: Buprenorphine-- A Primer for Prescribers and Pharmacists

Type: Government Report

Authors: Centers for Medicare and Medicaid Services

Year: 2015

Publication Place: Washington, DC

Topic(s):

, ,

Disclaimer:

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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