Literature Collection

5141

How Health Centers Engage Elders with Substance Use Disorder in Treatment

Type: Journal Article

Authors: Margaret Flinter

Year: 2020

Publication Place: San Francisco, California

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5142

How much shared decision making occurs in usual primary care of depression?

Type: Journal Article

Authors: L. I. Solberg, A. L. Crain, L. Rubenstein, J. Unutzer, R. R. Whitebird, A. Beck

Year: 2014

Publication Place: United States

Abstract: BACKGROUND: Shared decision making (SDM) is an important component of patient-centered care, but there is little information about its use in the primary care of depression, so we sought to study its frequency in usual care as reported by patients. METHODS: Telephone interview of 1168 depressed patients taking antidepressants in 88 Minnesota primary care clinics who were identified from pharmacy claims data soon after a prescription for an antidepressant. We measured depression severity with the 9-item Patient Health Questionnaire and used a composite measure of SDM that reflected patient involvement in treatment decisions. RESULTS: These patients reported an average score for SDM of 50.7 (standard deviation, 32.8) on a scale of 0 to 100, where higher scores equate with greater SDM. In univariate analyses, the largest differences among scores were for age (scores of 58, 53, 45, and 33 for those aged 18-34, 35-49, 50-64, and >64 years, respectively; P < .0001); duration of treatment (a score of 56.6 on treatment <6 weeks vs 45.5 if longer; P < .001); and other treatments in the past 6 months (60.5 if yes vs. 46.0 if no; P = .001). SDM was not associated with any clinic characteristics, but it was correlated with patient-reported quality of care (r = 0.48; P < .001). Multivariate analyses confirmed some of these findings while showing a more complex set of relationships. CONCLUSIONS: Older patients with depression and those who have been in treatment longer report much less SDM in their care. Improving SDM, especially for these groups, may be an important target for improving patient experience and perceived quality.

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5143

How parents' negative experiences at immunization visits affect child immunization status in a community in New York City

Type: Journal Article

Authors: M. S. Stockwell, M. Irigoyen, R. A. Martinez, S. Findley

Year: 2011

Publication Place: United States

Abstract: OBJECTIVE: Little is known about how families' experiences with immunization visits within the medical home may affect children's immunization status. We assessed the association between families' negative immunization experiences within the medical home and underimmunization. METHODS: We surveyed parents (n = 392) of children aged 2-36 months about immunization experiences at community health centers, hospital-based clinics, private practices, and community-based organizations in New York City. We used Chi-square tests and odds ratios (ORs) to assess the relationship between medical home elements and parental immunization experience ratings. We used multivariable analysis to determine the association between negative experiences during immunization visits and underimmunization, controlling for insurance, maternal education, and receipt of benefits from the Special Supplemental Nutrition Program for Women, Infants, and Children. RESULTS: The majority of children were of Latino race/ethnicity and had Medicaid and a medical home. One-sixth (16.9%) of families reported a previous negative immunization experience, primarily related to the child's reaction, waiting time, and attitudes of medical and office staff. Parents' negative immunization experiences were associated with the absence of four components of the medical home: continuity of care, family-centered care, compassionate care, and comprehensive care. In addition, children in families who reported a negative experience were more likely to have been underimmunized (adjusted OR = 2.00; 95% confidence interval 1.12, 3.58). CONCLUSIONS: In a community in New York City, underimmunization of young children was associated with negative immunization experiences. Strategies to improve family experiences with immunization visits within the medical home (particularly around support for the family), medical and ancillary staff attitudes, and reduced waiting time may lead to improved immunization delivery.

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5144

How patients view primary care: Differences by minority status after psychiatric emergency

Type: Journal Article

Authors: J. S. Roman, K. S. Griswold, S. J. Smith, T. J. Servoss

Year: 2008

Publication Place: United States

Abstract: BACKGROUND: Patients' race or ethnic background may affect their ability to access health care due to their socioeconomic status, hereditary predispositions to illnesses, or discrimination either perceived or actual by those providing health care. For patients with mental health disorders, additional barriers are created due to poor experiences with the health care system. METHODS: This was a mixed methods randomized control study examining the effectiveness of care managers linking patients to primary care after psychiatric crisis. The aim reported in this paper was to analyze differences by minority status in patients' quantitative and qualitative responses before and after facilitation to primary care (N=85). Patients responded to a "patient enablement" and primary care index assessing their feelings of empowerment after a primary care visit; and to qualitative questions about their experiences and perceptions of care. FINDINGS: Following a primary care visit, responses by minority and non-minority individuals did not differ significantly on either the patient enablement or primary care index score. On qualitative inquiry, both non-minorities and minorities reported positive and negative views of their health, with corresponding positive and negative health experiences. DISCUSSION: In sum, there were no differences in patient enablement between the minority and non-minority subgroups over the course of the study, nor were there any changes in patient's perception of their relationship with healthcare providers. However, this cohort found primary care services less satisfactory than a general population without mental illness. Patients with psychiatric disorders experience stigmatization in their attempts to access health care. This stigma may have a greater impact than race and ethnicity, thereby leading to a similarity in perception of health care between minorities and non-minorities with mental illness.

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5145

How Physician Workforce Shortages Are Hampering the Response to the Opioid Crisis

Type: Journal Article

Authors: J. McNeely, D. Schatz, M. Olfson, N. Appleton, A. R. Williams

Year: 2022

Abstract:

The United States is experiencing an unprecedented opioid crisis, with a record of about 93,000 opioid-involved overdose deaths in 2020, which requires rapid and substantial scaling up of access to effective treatment for opioid use disorder. Only 18% of individuals with opioid use disorder receive evidence-based treatment, and strategies to increase access are hindered by a lack of treatment providers. Using a case study from the largest municipal hospital system in the United States, the authors describe the effects of a workforce shortage on health system responses to the opioid crisis. This national problem demands a multipronged approach, including federal programs to grow and diversify the pipeline of addiction providers, medical education initiatives, and enhanced training and mentorship to increase the capacity of allied clinicians to treat patients who have an opioid use disorder. Workforce development should be combined with structural reforms for integrating addiction treatment into mainstream medical care and with new treatment models, including telehealth, which can lower patient barriers to accessing treatment.

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5146

How Practices Can Advance the Implementation of Integrated Care in the COVID-19 Era

Type: Report

Authors: Mary Docherty, Brigitta Spaeth-Rublee, Deborah Scharf, Erin K. Ferenchick, Jennifer Humensky, Matthew Goldman L., Henry Chung, Harold Alan Pincus

Year: 2020

Publication Place: Washington, D.C.

Topic(s):

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Grey literature is comprised of materials that are not made available through traditional publishing avenues. Examples of grey literature in the Repository of the Academy for the Integration of Mental Health and Primary Care include: reports, dissertations, presentations, newsletters, and websites. This grey literature reference is included in the Repository in keeping with our mission to gather all sources of information on integration. Often the information from unpublished resources is limited and the risk of bias cannot be determined.

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5147

How prevalent and severe is addiction on gabamimetic drugs in an elderly german general hospital population? Focus on gabapentinoids, benzodiazepines, and z‐hypnotic drugs

Type: Journal Article

Authors: Udo Bonnet, Heath B. McAnally

Year: 2021

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5148

How primary care can contribute to good mental health in adults

Type: Journal Article

Authors: S. Gupta, R. Jenkins, J. Spicer, M. Marks, N. Mathers, L. Hertel, Calamos Nasir, F. Wright, B. Ruprah-Shah, B. Fisher, D. Morris, K. C. Stange, R. White, G. Giotaki, T. Burch, C. Millington-Sanders, S. Thomas, R. Banarsee, P. Thomas

Year: 2017

Publication Place: England

Abstract: The need for support for good mental health is enormous. General support for good mental health is needed for 100% of the population, and at all stages of life, from early childhood to end of life. Focused support is needed for the 17.6% of adults who have a mental disorder at any time, including those who also have a mental health problem amongst the 30% who report having a long-term condition of some kind. All sectors of society and all parts of the NHS need to play their part. Primary care cannot do this on its own. This paper describes how primary care practitioners can help stimulate such a grand alliance for health, by operating at four different levels - as individual practitioners, as organisations, as geographic clusters of organisations and as policy-makers.

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5149

How primary care can contribute to good mental health in adults

Type: Journal Article

Authors: S. Gupta, R. Jenkins, J. Spicer, M. Marks, N. Mathers, L. Hertel, Calamos Nasir, F. Wright, B. Ruprah-Shah, B. Fisher, D. Morris, K. C. Stange, R. White, G. Giotaki, T. Burch, C. Millington-Sanders, S. Thomas, R. Banarsee, P. Thomas

Year: 2017

Publication Place: England

Abstract: The need for support for good mental health is enormous. General support for good mental health is needed for 100% of the population, and at all stages of life, from early childhood to end of life. Focused support is needed for the 17.6% of adults who have a mental disorder at any time, including those who also have a mental health problem amongst the 30% who report having a long-term condition of some kind. All sectors of society and all parts of the NHS need to play their part. Primary care cannot do this on its own. This paper describes how primary care practitioners can help stimulate such a grand alliance for health, by operating at four different levels - as individual practitioners, as organisations, as geographic clusters of organisations and as policy-makers.

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5150

How Right Now: Finding What Helps

Type: Report

Authors: Centers for Disease Control and Prevention

Year: 2023

Publication Place: Atlanta, GA

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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5151

How should we fund integrated primary care for children in Australia? A resource allocation study

Type: Journal Article

Authors: C. Bailey, S. Honisett, J. Dermentzis, J. Devereux, J. A. Manski-Nankervis, K. Dalziel, H. Hiscock

Year: 2024

Abstract:

OBJECTIVES: Integrated primary care provides health and social care services to intervene early and support children and families. Funding of integrated care is a barrier to care provision, but evidence is limited for which funding models are most appropriate. Our study aimed to provide expert judgement on what funding model, or mix of models, are most likely effective for integrating primary care for families with children aged 0-12 years in Australia. METHODS: We conducted a resource allocation survey to value funding models for integrated care. Participants were purposively sampled experts in primary health, social care and mental health care. Six funding types were included in the study. Outcome measures included ranking of funding model preferences and qualitative analysis from open-ended questions. RESULTS: Block-funding, alternative-payment-methods and incentive-payments were preferred models for integrated care individually and within a blended model. Fee-for-service, capitation and pay-for-performance were the least preferred models. There was agreement Fee-for-service may hinder integrating care. CONCLUSIONS: A blended model, including alternative-payment-methods, incentive-payments and block-funding, were preferred models to best integrate care for child outcomes. IMPLICATIONS FOR PUBLIC HEALTH: Determining how best to fund integrated primary care for children is a priority for decision-making in Australia, as fee-for-service is no longer considered appropriate.

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5152

How States Can Access New Federal Funds to Improve Care in Rural Communities

Type: Report

Authors: Lena Marceno, Dawn Joyce, Kevin Bennett

Year: 2025

Publication Place: New York, NY

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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5153

How States Can Strengthen Data-Sharing Efforts to Support Local Community Responder Programs

Type: Government Report

Authors: The Council of State Governments

Year: 2025

Publication Place: New York, NY

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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5154

How States Leverage Medicaid Managed Care to Foster Behavioral Health Integration

Type: Report

Authors: Neva Kaye, Tier McCullough, Sandra Wilkniss

Year: 2025

Publication Place: Washington, D.C.

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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5155

How States Use Opioid Use Disorder Treatment Measures to Inform Decision-Making

Type: Report

Authors: Pew Charitable Trusts

Year: 2024

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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5156

How the CMS Innovation Center is Supporting Primary Care

Type: Web Resource

Authors: Centers for Medicare & Medicaid Services

Year: 2024

Publication Place: Baltimore, 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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5157

How the e-patient community helped save my life: an essay by Dave deBronkart

Type: Journal Article

Authors: D. deBronkart

Year: 2013

Publication Place: England

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5158

How the electronic health record did not measure up to the demands of our medical home practice

Type: Journal Article

Authors: R. Fernandopulle, N. Patel

Year: 2010

Publication Place: United States

Abstract: The American Recovery and Reinvestment Act (ARRA) of 2009 will soon provide billions of dollars to small physician practices nationwide to encourage adoption of electronic health records. Although shifting from paper to computers should lead to better and cheaper care, the transition is complex. In this paper we describe our struggles to adapt a commercial electronic health record to an innovative practice serving high-cost patients with chronic diseases. Limitations in the technology gave rise to medication errors, interruptions in work flow, and other problems common to paper systems. Our experience should encourage providers and policy makers to consider alternative software and informatics models before investing in currently available systems.

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5159

How the U.S. — and the World — Can Help Address Loneliness and Mental Health of Older People

Type: Government Report

Authors: Arnav; Shah, Munira Z. Gunja, Reginald D. Williams II

Year: 2025

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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5160

How the U.S. Can Better Understand — and Prevent — Maternal Deaths Related to Substance Use

Type: Report

Authors: Nicole Amodio, Marie Thoma, Eugene Declercq

Year: 2025

Publication Place: New York, NY

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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