Literature Collection

4941

Health benefits for health and social care clients attending an Integrated Health and Social Care day unit (IHSCDU): a before-and-after pilot study with a comparator group

Type: Journal Article

Authors: F. Murphy, L. Hugman, J. Bowen, F. Parsell, M. Gabe-Walters, L. Newson, S. Jordan

Year: 2017

Publication Place: England

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4942

Health Care Consumers' Preferences Around Health Information Exchange

Type: Journal Article

Authors: R. V. Dhopeshwarkar, L. M. Kern, H. C. O'Donnell, A. M. Edwards, R. Kaushal

Year: 2012

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4943

Health care costs of depression in primary care patients in The Netherlands

Type: Journal Article

Authors: J. E. Bosmans, M. C. de Bruijne, M. R. de Boer, H. van Hout, P. van Steenwijk, M. W. van Tulder

Year: 2010

Publication Place: England

Abstract: BACKGROUND: Depression is highly prevalent in Western countries and is associated with increased health care costs. Most depressed patients are treated in primary care. OBJECTIVE: To estimate the resource use and costs of depressed patients treated in primary care in comparison with matched controls. METHODS: Data from an electronic medical record system of 20 general practices in The Netherlands for the years 2002-04 were used. A patient was considered depressed when having a diagnosis of depression and either a prescription for antidepressants or a referral to mental health care. Matching was based on age, sex and GP. Multilevel analyses combined with bootstrapping were performed to compare costs between depressed and matched control patients while correcting for clustering at the level of the GP and adjusting for confounding by age, sex and co-morbidity. RESULTS: The prevalence of recognized and subsequently treated depression was 3.1% [95% confidence interval (CI) 3.0 to 3.2]. Total health care costs per patient in 2002-04 were on average euro2859 (SD 2297) in depressed patients and euro658 (SD 1070) in control patients (mean difference euro2202, 95% CI 2146 to 2257). After adjustment for co-morbidity, depressed patients had excess costs of euro1403 (95% CI 1350 to 1456). CONCLUSION: Our results show that health care costs of depressed patients are much higher compared with matched controls even after adjusting for co-morbidity. This was not only true for mental but also for general medical care utilization. These results emphasize the need to develop cost-effective interventions to treat depression in primary care.

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4944

Health care costs of primary care patients with recognized depression

Type: Journal Article

Authors: G. E. Simon, M. Von Korff, W. Barlow

Year: 1995

Publication Place: UNITED STATES

Abstract: BACKGROUND: While an extensive literature documents the influence of depression on general medical services utilization, estimates of the economic burden of depression have focused on the direct costs of depression treatment. Higher use of general medical services may contribute significantly to the true cost of depressive illness. METHODS: Computerized record systems of a large staff-model health maintenance organization (HMO) were used to identify consecutive primary care patients with visit diagnoses of depression (n = 6257) and a comparison sample of primary care patients with no depression diagnosis (n = 6257). The HMO accounting records were used to compare components of health care costs. RESULTS: Patients diagnosed as depressed had higher annual health care costs ($4246 vs $2371, P < .001) and higher costs for every category of care (eg, primary care, medical specialty, medical inpatient, pharmacy, laboratory). Similar cost differences were observed for each of the subgroups examined (patients treated with antidepressants, those not treated with antidepressants, and those diagnosed at routine physical examination visits). Pharmacy records indicated greater chronic medical illness in the diagnosed depression group, but large cost differences remained after adjustment ($3971 vs $2644). Twofold cost differences persisted for at least 12 months after initiation of treatment. CONCLUSIONS: Diagnosis of depression is associated with a generalized increase in use of health services that is only partially explained by comorbid medical conditions. In the primary care sector, this greater medical utilization exceeds direct treatment costs for depression. The persistence of utilization differences suggests that recognition and initiation of treatment alone are not adequate to reduce utilization differences.

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4945

Health Care Decisions among Mental Health Services Consumers in San Diego County: Implications for Integrated Care

Type: Journal Article

Authors: E. Siantz, B. Henwood, Z. Xu, A. Sarkin, T. Gilmer

Year: 2017

Publication Place: United States

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4946

Health Care Delivery Innovations That Integrate Care? Yes!: But Integrating What?

Type: Journal Article

Authors: R. E. Herzlinger, S. M. Schleicher, S. Mullangi

Year: 2016

Publication Place: United States

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4947

Health care delivery system prompts new workforce role for case managers

Type: Journal Article

Year: 2012

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4948

Health Care Experiences of Native Hawaiian or Pacific Islander Adults

Type: Government Report

Authors: Shannon Schumacher, Liz Hamel, Samantha Artiga, Julian Montalvo Ill

Year: 2024

Publication Place: San Francisco, CA

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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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4949

Health care for the whole person: Research update

Type: Journal Article

Authors: Nadine J. Kaslow, Annie M. Bollini, Benjamin Druss, Robert L. Glueckauf, Lewis R. Goldfrank, Kelly J. Kelleher, Annette Marie La Greca, Enrique Varela, Samuel S. -H Wang, Linda Weinreb, Lonnie Zeltzer

Year: 2007

Publication Place: US: American Psychological Association

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4950

Health Care Home

Type: Web Resource

Authors: Missouri Department of Mental Health

Year: 2021

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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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4951

Health care homes to meet the unique needs of persons with serious mental illness

Type: Journal Article

Authors: Linda Rosenberg

Year: 2009

Publication Place: Germany: Springer

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4952

Health care integration for formerly homeless people with serious mental illness.

Type: Journal Article

Authors: Lara Carson Weinstein, Marianna LaNoue, Elizabeth Collins, Benjamin F. Henwood, Robert E. Drake

Year: 2013

Publication Place: United Kingdom

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4953

Health Care Integration in the Era of the Affordable Care Act

Type: Report

Authors: C. Croze

Year: 2015

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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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4954

Health Care Integration Will Succeed When Integration is Obsolete

Type: Web Resource

Authors: Kathleen Reynolds

Year: 2012

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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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4955

Health Care Provider Perspectives on the Use of a Digital Behavioral Health App to Support Patients: Qualitative Study

Type: Journal Article

Authors: V. Silfee, K. Williams, B. Leber, J. Kogan, C. Nikolajski, E. Szigethy, C. Serio

Year: 2021

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4956

Health Care Provider Stigma Toward Patients With Substance Use Disorders: Protocol for a Nationally Representative Survey

Type: Journal Article

Authors: C. L. Parish, D. J. Feaster, H. A. Pollack, V. E. Horigian, X. Wang, P. Jacobs, M. R. Pereyra, C. Drymon, E. Allen, L. K. Gooden, C. Del Rio, L. R. Metsch

Year: 2023

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4957

Health care providers' comfort caring for trauma-exposed patients in the primary care setting: A mixed methods approach

Type: Journal Article

Authors: E. C. Lathan, R. Langhinrichsen-Rohling, E. McAfee, S. C. Sonu, T. Haynes, A. Powers

Year: 2024

Abstract:

INTRODUCTION: Patients seeking primary care often present with health concerns related to psychological trauma, highlighting the importance of health care providers' (HCPs) comfort discussing trauma in the primary care setting. This study used mixed methods, including qualitative content analysis, to (1) document HCPs' trauma-related comfort levels and factors contributing to discomfort and (2) examine the associations between provider-level factors and comfort. MATERIALS AND METHODS: Direct patient care providers (74.6% physicians/residents; 68.7% women; 44.8% White; M(age) = 36.7 years, SD(age) = 9.8) were recruited from primary care clinics in an urban public hospital system in the United States to complete a survey assessing trauma-related comfort; responses to open-ended prompts were coded by independent raters. RESULTS: Few HCPs endorsed comfort providing care to patients with known trauma histories (29.8%), most often citing limited knowledge and fear of exacerbating symptoms as contributors to discomfort. HCPs most often endorsed formal education and integrated behavioral health teams as having enhanced their comfort providing trauma-informed care; 59.2% indicated that receiving formal education would further increase comfort. HCPs' comfort was unrelated provider-level factors other than department, F (2,53) =6.56, P = 0.003, and race, F (2,52) =5.69, P = 0.006. DISCUSSION: Findings provide critical context to HCPs' trauma-related discomfort as well as actionable next steps to increase trauma-related comfort during primary care encounters.

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4958

Health care quality-improvement approaches to reducing child health disparities

Type: Journal Article

Authors: M. H. Chin, M. Alexander-Young, D. L. Burnet

Year: 2009

Publication Place: United States

Abstract: Relatively few quality-improvement efforts have been aimed at reducing differences in children's care and outcomes across race and ethnicity, socioeconomic status, and insurance status. To inform quality-improvement efforts to reduce child health disparities, we summarize lessons learned from the adult disparities-intervention literature, identify interventions that have reduced disparities in pediatric asthma outcomes and immunization rates, and outline special considerations for child disparity interventions. Key recommendations for providers, health care organizations, and researchers include: (1) examine your performance data stratified according to insurance status, race/ethnicity, language, and socioeconomic status; (2) measure and improve childhood health-related quality of life, development, and condition-specific targets (such as asthma and immunizations); (3) measure and improve anticipatory guidance for early prevention of conditions (such as injuries, violence, substance abuse, and sexually transmitted diseases) and efforts to promote positive growth (such as readership programs to improve low literacy); (4) measure and improve structural aspects of care that affect child health outcomes and can reduce disparities, such as patient-centered medical-home elements; (5) incorporate families into interventions; (6) use multidisciplinary teams with close tracking and follow-up of patients; (7) integrate non-health care partners into quality-improvement interventions; and (8) culturally tailor quality improvement. A key recommendation for payers is to align financial incentives to reduce disparities. The National Institutes of Health and other funders should support (1) disparity-intervention studies on these recommendations that analyze clinical outcomes, intervention-implementation processes, and costs, and (2) creation of new child health services researchers who can find effective quality-improvement approaches for reducing disparities.

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4959

Health care reform and behavioral health: The journey ahead

Type: Journal Article

Authors: Matthew R. Merrens, Robert E. Drake

Year: 2013

Publication Place: United Kingdom

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4960

Health care reform and care at the behavioral health--primary care interface

Type: Journal Article

Authors: B. G. Druss, B. J. Mauer

Year: 2010

Publication Place: United States

Abstract: The historic passage of the Patient Protection and Affordable Care Act in March 2010 offers the potential to address long-standing deficits in quality and integration of services at the interface between behavioral health and primary care. Many of the efforts to reform the care delivery system will come in the form of demonstration projects, which, if successful, will become models for the broader health system. This article reviews two of the programs that might have a particular impact on care on the two sides of that interface: Medicaid and Medicare patient-centered medical home demonstration projects and expansion of a Substance Abuse and Mental Health Services Administration program that colocates primary care services in community mental health settings. The authors provide an overview of key supporting factors, including new financing mechanisms, quality assessment metrics, information technology infrastructure, and technical support, that will be important for ensuring that initiatives achieve their potential for improving care.

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