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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
5021
Health and Public Policy to Facilitate Effective Prevention and Treatment of Substance Use Disorders Involving Illicit and Prescription Drugs: An American College of Physicians Position Paper
Type:
Journal Article
Year:
2017
Publication Place:
United States
Abstract:
Substance use disorders involving illicit and prescription drugs are a serious public health issue. In the United States, millions of individuals need treatment for substance use disorders but few receive it. The rising number of drug overdose deaths and the changing legal status of marijuana pose new challenges. In this position paper, the American College of Physicians maintains that substance use disorder is a treatable chronic medical condition and offers recommendations on expanding treatment options, the legal status of marijuana, addressing the opioid epidemic, insurance coverage of substance use disorders treatment, education and workforce, and public health interventions.
Topic(s):
Opioids & Substance Use
See topic collection
5022
Health and Public Policy to Facilitate Effective Prevention and Treatment of Substance Use Disorders Involving Illicit and Prescription Drugs: An American College of Physicians Position Paper
Type:
Journal Article
Year:
2017
Publication Place:
United States
Abstract:
Substance use disorders involving illicit and prescription drugs are a serious public health issue. In the United States, millions of individuals need treatment for substance use disorders but few receive it. The rising number of drug overdose deaths and the changing legal status of marijuana pose new challenges. In this position paper, the American College of Physicians maintains that substance use disorder is a treatable chronic medical condition and offers recommendations on expanding treatment options, the legal status of marijuana, addressing the opioid epidemic, insurance coverage of substance use disorders treatment, education and workforce, and public health interventions.
Topic(s):
Opioids & Substance Use
See topic collection
5025
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
Year:
2017
Publication Place:
England
Topic(s):
General Literature
See topic collection
5027
Health care costs of depression in primary care patients in The Netherlands
Type:
Journal Article
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.
Topic(s):
Financing & Sustainability
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Reference Links:
View the DOI record for Health care costs of depression in primary care patients in The Netherlands
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View the PubMed citation for Health care costs of depression in primary care patients in The Netherlands
5028
Health care costs of primary care patients with recognized depression
Type:
Journal Article
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.
Topic(s):
Financing & Sustainability
See topic collection
Reference Links:
View the PubMed citation for Health care costs of primary care patients with recognized depression
5029
Health Care Decisions among Mental Health Services Consumers in San Diego County: Implications for Integrated Care
Type:
Journal Article
Year:
2017
Publication Place:
United States
Topic(s):
Healthcare Disparities
See topic collection
Reference Links:
View the DOI record for Health Care Decisions among Mental Health Services Consumers in San Diego County: Implications for Integrated Care
View DOI Record
View the PubMed citation for Health Care Decisions among Mental Health Services Consumers in San Diego County: Implications for Integrated Care
5030
Health Care Delivery Innovations That Integrate Care? Yes!: But Integrating What?
Type:
Journal Article
Year:
2016
Publication Place:
United States
Topic(s):
Financing & Sustainability
See topic collection
Reference Links:
View the DOI record for Health Care Delivery Innovations That Integrate Care? Yes!: But Integrating What?
View DOI Record
View the PubMed citation for Health Care Delivery Innovations That Integrate Care? Yes!: But Integrating What?
5039
Health Care Provider Perspectives on the Use of a Digital Behavioral Health App to Support Patients: Qualitative Study
Type:
Journal Article
Year:
2021
Topic(s):
Education & Workforce
See topic collection
, Healthcare Disparities
See topic collection
, HIT & Telehealth
See topic collection
Reference Links:
View the DOI record for Health Care Provider Perspectives on the Use of a Digital Behavioral Health App to Support Patients: Qualitative Study
View DOI Record
View the PubMed citation for Health Care Provider Perspectives on the Use of a Digital Behavioral Health App to Support Patients: Qualitative Study