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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).
12780 Results
3701
Does the Patient-centered Medical Home Model Change Staffing and Utilization in the Community Health Centers?
Type: Journal Article
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.
Topic(s):
Financing & Sustainability
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, Medical Home
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Reference Links: 
View the DOI record for Does the Patient-centered Medical Home Model Change Staffing and Utilization in the Community Health Centers?
View DOI Record
View the PubMed citation for Does the Patient-centered Medical Home Model Change Staffing and Utilization in the Community Health Centers?3702
Does the Patient-centered Medical Home Model Change Staffing and Utilization in the Community Health Centers?
Type: Journal Article
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.
Topic(s):
Financing & Sustainability
See topic collection
, Medical Home
See topic collection
Reference Links:
View the DOI record for Does the Patient-centered Medical Home Model Change Staffing and Utilization in the Community Health Centers?
View DOI Record
View the PubMed citation for Does the Patient-centered Medical Home Model Change Staffing and Utilization in the Community Health Centers?3704
Does the Primary Care Behavioral Health Model Reduce Emergency Department Visits?
Type: Journal Article
Year: 2018
Publication Place: United States
Topic(s):
HIT & Telehealth
See topic collection
Reference Links:
View the DOI record for Does the Primary Care Behavioral Health Model Reduce Emergency Department Visits?
View DOI Record
View the PubMed citation for Does the Primary Care Behavioral Health Model Reduce Emergency Department Visits?3705
Does training in motivational interviewing for community pharmacists improve outcomes for methadone patients? A cluster randomised controlled trial
Type: Journal Article
Year: 2014
Publication Place: England
Topic(s):
Opioids & Substance Use
See topic collection
, Education & Workforce
See topic collection
3709
Don Bloch's vision for Collaborative Family Health Care: Progress and next steps
Type: Journal Article
Year: 2015
Publication Place: United States
Topic(s):
Key & Foundational
See topic collection
Reference Links:
View the DOI record for Don Bloch's vision for Collaborative Family Health Care: Progress and next steps
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View the PubMed citation for Don Bloch's vision for Collaborative Family Health Care: Progress and next steps3710
Don Bloch's vision: A commentary
Type: Journal Article
Year: 2015
Publication Place: United States
Topic(s):
General Literature
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Reference Links:
View the DOI record for Don Bloch's vision: A commentary
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View the PubMed citation for Don Bloch's vision: A commentaryExport Citation: Download the RIS reference file for Don Bloch's vision: A commentary
3717
Drug consumption facility as part of a primary health care centre for problem drug users - which clients are attracted?
Type: Journal Article
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.
Topic(s):
Opioids & Substance Use
See topic collection
Reference Links:
View the DOI record for Drug consumption facility as part of a primary health care centre for problem drug users - which clients are attracted?
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View the PubMed citation for Drug consumption facility as part of a primary health care centre for problem drug users - which clients are attracted?3718
Drug dependence, a chronic medical illness: implications for treatment, insurance, and outcomes evaluation
Type: Journal Article
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.
Topic(s):
Opioids & Substance Use
See topic collection
Reference Links:
View the DOI record for Drug dependence, a chronic medical illness: implications for treatment, insurance, and outcomes evaluation
View DOI Record
View the PubMed citation for Drug dependence, a chronic medical illness: implications for treatment, insurance, and outcomes evaluation