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The Literature Collection contains over 10,000 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).
10858 Results
5863
Medical Family Therapy in Rural Community Health: A Longitudinal "Peek" into Integrated Care Successes
Type: Journal Article
Year: 2022
Topic(s):
Education & Workforce
See topic collection
, Healthcare Disparities
See topic collection
Reference Links: 
View the DOI record for Medical Family Therapy in Rural Community Health: A Longitudinal "Peek" into Integrated Care Successes
View DOI Record
View the PubMed citation for Medical Family Therapy in Rural Community Health: A Longitudinal "Peek" into Integrated Care Successes5865
Medical Group Structural Integration May Not Ensure That Care Is Integrated, From The Patient's Perspective
Type: Journal Article
Year: 2017
Publication Place: United States
Abstract: Structural integration is increasing among medical groups, but whether these changes yield care that is more integrated remains unclear. We explored the relationships between structural integration characteristics of 144 medical groups and perceptions of integrated care among their patients. Patients' perceptions were measured by a validated national survey of 3,067 Medicare beneficiaries with multiple chronic conditions across six domains that reflect knowledge and support of, and communication with, the patient. Medical groups' structural characteristics were taken from the National Study of Physician Organizations and included practice size, specialty mix, technological capabilities, and care management processes. Patients' survey responses were most favorable for the domain of test result communication and least favorable for the domain of provider support for medication and home health management. Medical groups' characteristics were not consistently associated with patients' perceptions of integrated care. However, compared to patients of primary care groups, patients of multispecialty groups had strong favorable perceptions of medical group staff knowledge of patients' medical histories. Opportunities exist to improve patient care, but structural integration of medical groups might not be sufficient for delivering care that patients perceive as integrated.
Topic(s):
Education & Workforce
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Reference Links:
View the DOI record for Medical Group Structural Integration May Not Ensure That Care Is Integrated, From The Patient's Perspective
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View the PubMed citation for Medical Group Structural Integration May Not Ensure That Care Is Integrated, From The Patient's Perspective5866
Medical groups' adoption of electronic health records and information systems
Type: Journal Article
Year: 2005
Publication Place: United States
Abstract: We surveyed a nationally representative sample of medical group practices to assess their current use of information technology (IT). Our results suggest that adoption of electronic health records (EHRs) is progressing slowly, at least in smaller practices, although a number of group practices plan to implement an EHR within the next two years. Moreover, the process of choosing and implementing an EHR appears to be more complex and varied than we expected. This suggests a need for greater support for practices, particularly smaller ones, in this quest if the benefits expected from EHRs are to be realized.
Topic(s):
HIT & Telehealth
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Reference Links:
View the DOI record for Medical groups' adoption of electronic health records and information systems
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View the PubMed citation for Medical groups' adoption of electronic health records and information systems5867
Medical home and transition planning for children and youth with special health care needs
Type: Journal Article
Year: 2008
Publication Place: United States
Abstract: Although many physicians may practice medical home medicine, most of the health care system is set up for acute episodic care. For children and youth with special health care needs (CYSHCN), this is costly and inefficient care and unsatisfactory for the patient and family. Transition or the purposeful planned movement of adolescents and young adults with chronic conditions from child-centered to adult-centered care began to evolve in the 1980s as more and more CYSHCN survived into adulthood. There is some progress being made in the implementation of the medical home that may facilitate a more effective transition of young individuals who have developmental disabilities. The greatest barrier to successful transition remains ensuring affordable, continuous health insurance coverage for all young people with special health care needs throughout adolescence and adulthood and engaging adult-oriented health care systems to take over the medical care of these young individuals.
Topic(s):
Medical Home
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Reference Links:
View the DOI record for Medical home and transition planning for children and youth with special health care needs
View DOI Record
View the PubMed citation for Medical home and transition planning for children and youth with special health care needs5868
Medical home capabilities of primary care practices that serve sociodemographically vulnerable neighborhoods
Type: Journal Article
Year: 2010
Publication Place: United States
Abstract: BACKGROUND: Under current medical home proposals, primary care practices using specific structural capabilities will receive enhanced payments. Some practices disproportionately serve sociodemographically vulnerable neighborhoods. If these practices lack medical home capabilities, their ineligibility for enhanced payments could worsen disparities in care. METHODS: Via survey, 308 Massachusetts primary care practices reported their use of 13 structural capabilities commonly included in medical home proposals. Using geocoded US Census data, we constructed racial/ethnic minority and economic disadvantage indices to describe the neighborhood served by each practice. We compared the structural capabilities of "disproportionate-share" practices (those in the most sociodemographically vulnerable quintile on each index) and others. RESULTS: Racial/ethnic disproportionate-share practices were more likely than others to have staff assisting patient self-management (69% vs 55%; P = .003), on-site language interpreters (54% vs 26%; P < .001), multilingual clinicians (80% vs 51%; P < .001), and multifunctional electronic health records (48% vs 29%; P = .01). Similarly, economic disproportionate-share practices were more likely than others to have physician awareness of patient experience ratings (73% vs 65%; P = .03), on-site language interpreters (56% vs 25%; P < .001), multilingual clinicians (78% vs 51%; P < .001), and multifunctional electronic health records (40% vs 31%; P = .03). Disproportionate-share practices were larger than others. After adjustment for practice size, only language capabilities continued to have statistically significant relationships with disproportionate-share status. CONCLUSIONS: Contrary to expectations, primary care practices serving sociodemographically vulnerable neighborhoods were more likely than other practices to have structural capabilities commonly included in medical home proposals. Payments tied to these capabilities may aid practices serving vulnerable populations.
Topic(s):
Education & Workforce
See topic collection
, Financing & Sustainability
See topic collection
, Medical Home
See topic collection
, HIT & Telehealth
See topic collection
Reference Links:
View the DOI record for Medical home capabilities of primary care practices that serve sociodemographically vulnerable neighborhoods
View DOI Record
View the PubMed citation for Medical home capabilities of primary care practices that serve sociodemographically vulnerable neighborhoods5869
Medical home disparities between children with public and private insurance
Type: Journal Article
Year: 2011
Publication Place: United States
Topic(s):
Medical Home
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Reference Links:
View the DOI record for Medical home disparities between children with public and private insurance
View DOI Record
View the PubMed citation for Medical home disparities between children with public and private insurance5870
Medical home effects on enrollees with mental and physical illness
Type: Journal Article
Year: 2020
Publication Place: United States
Abstract: OBJECTIVES: To assess the effect of medical home enrollment on acute care use and healthcare spending among Medicaid beneficiaries with mental and physical illness. STUDY DESIGN: Retrospective cohort analysis of administrative data. METHODS: We used 2007-2010 Medicaid claims and state psychiatric hospital data from a sample of 83,819 individuals diagnosed with schizophrenia or depression and at least 1 comorbid physical condition. We performed fixed-effects regression analysis at the person-month level to examine the effect of medical home enrollment on the probabilities of emergency department (ED) use, inpatient admission, and outpatient care use and on amount of Medicaid spending. RESULTS: Medical home enrollment had no effect on ED use in either cohort and was associated with a lower probability of inpatient admission in the depression cohort (P .05). Medical home enrollees in both cohorts experienced an increase in the probability of having any outpatient visits (P .05). Medical home enrollment was associated with an increase in mean monthly spending among those with schizophrenia ($65.8; P .05) and a decrease among those with depression (-$66.4; P .05). CONCLUSIONS: Among Medicaid beneficiaries with comorbid mental and physical illness, medical home enrollment appears to increase outpatient healthcare use and has mixed effects on acute care use. For individuals in this population who previously had no engagement with the healthcare system, use of the medical home model may represent an investment in providing improved access to needed outpatient services with cost savings potential for beneficiaries with depression.
Topic(s):
Financing & Sustainability
See topic collection
, Healthcare Disparities
See topic collection
, Medical Home
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Reference Links: View the PubMed citation for Medical home effects on enrollees with mental and physical illness
5872
Medical home for adolescents: low attainment rates for those with mental health problems and other vulnerable groups
Type: Journal Article
Year: 2013
Publication Place: United States
Topic(s):
Healthcare Disparities
See topic collection
, Medical Home
See topic collection
Reference Links:
View the DOI record for Medical home for adolescents: low attainment rates for those with mental health problems and other vulnerable groups
View DOI Record
View the PubMed citation for Medical home for adolescents: low attainment rates for those with mental health problems and other vulnerable groups5875
Medical home services for children with behavioral health conditions
Type: Journal Article
Year: 2010
Publication Place: United States
Abstract: OBJECTIVES: Whether medical services received by children and youth with behavioral health conditions are consistent with a Medical Home has not been systematically studied. The objectives of this study were to examine the variation among four behavioral health conditions in regard to services related to the Medical Home. METHODS: Cross-sectional analyses of the 2003 National Survey of Children's Health were conducted. Multiple logistic regression analyses tested the impact of behavioral health conditions on medical needs, on Medical Home components, and on likelihood of having a Medical Home overall. RESULTS: Autism, Depression/Anxiety, and Behavior/Conduct problems were associated with reduced likelihood of having a Medical Home, whereas Attention-Deficit Hyperactivity Disorder was associated with increased likelihood. All health conditions predicted increased access to a primary care physician (PCP) and a preventive visit in the past year. However, all were also associated with higher needs for specialty care and all behavioral health conditions except Attention-Deficit Hyperactivity Disorder were associated with difficulties accessing this care. CONCLUSIONS: A detailed examination of the receipt of services among children and youth with behavioral health conditions reveals two primary reasons why such care is less likely to be consistent with a Medical Home model: (1) parents are more likely to report needing specialty care; and (2) these needs are less likely to be met. These data suggest that the reason why services received by children and youth with behavioral health conditions are not consistent with the Medical Home has more to do with difficulty accessing specialty care than with problems accessing quality primary care.
Topic(s):
Medical Home
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Reference Links:
View the DOI record for Medical home services for children with behavioral health conditions
View DOI Record
View the PubMed citation for Medical home services for children with behavioral health conditions5876
Medical homes for at-risk children: Parental reports of clinician-parent relationships, anticipatory guidance, and behavior changes
Type: Journal Article
Year: 2005
Abstract: BACKGROUND: Family-centeredness, compassion, and trust are 3 attributes of the clinician-parent relationship in the medical home. Among adults, these attributes are associated with patients' adherence to clinicians' advice. OBJECTIVES: The objectives were (1) to measure medical home attributes related to the clinician-parent relationship, (2) to measure provision of anticipatory guidance regarding injury and illness prevention, (3) to relate anticipatory guidance to parental behavior changes, and (4) to relate medical home attributes to anticipatory guidance and parental behavior changes. METHODS: A cross-sectional study of data collected among at-risk families when children were 1 year of age, in a randomized, controlled trial of a home-visiting program to prevent child abuse and neglect, was performed. Modified subscales of the Primary Care Assessment Survey were used to measure parental ratings of clinicians' family-centeredness, compassion, and trust. Parental reports of provision of anticipatory guidance regarding injury and illness prevention topics (smoke alarms, infant walkers, car seats, hot water temperature, stair guards, sunscreen, firearm safety, and bottle propping) and behavior changes were recorded. RESULTS: Of the 564 mothers interviewed when their children were 1 year of age, 402 (71%) had a primary care provider and had complete data for anticipatory guidance items. By definition, poverty, partner violence, poor maternal mental health, and maternal substance abuse were common in the study sample. Maternal ratings of clinicians' family-centeredness, compassion, and trust were fairly high but ranged widely and varied among population subgroups. Families reported anticipatory guidance for a mean of 4.6 +/- 2.2 topics relevant for discussion. Each medical home attribute was positively associated with parental reports of completeness of anticipatory guidance, ie, family-centeredness (beta = .026, SE = .004), compassion (beta = .019, SE = .005), and trust (beta = .016, SE = .005). Parents' perceptions of behavior changes were positively associated with trust (beta = .018, SE = .006). Analyses were adjusted for potential confounding by randomized, controlled trial group assignment, receipt of >or=5 well-child visits, and baseline attributes. CONCLUSIONS: Among at-risk families, we found an association between parental ratings of the medical home and parental reports of the completeness of anticipatory guidance regarding selected injury and illness prevention topics. Parents' trust of the clinician was associated with parent-reported behavior changes for discussed topics.
Topic(s):
Medical Home
See topic collection
5879
Medical illness and response to treatment in primary care panic disorder
Type: Journal Article
Year: 2005
Topic(s):
General Literature
See topic collection
Reference Links:
View the DOI record for Medical illness and response to treatment in primary care panic disorder
View DOI Record
View the PubMed citation for Medical illness and response to treatment in primary care panic disorder5880
Medical interventions for addictions in the primary care setting
Type: Journal Article
Year: 2010
Publication Place: United States
Abstract: Primary care physicians treating HIV-infected patients should not be afraid or reluctant to engage in medication-assisted treatment for substance dependence. Effective medications are available for many types of substance addictions, including buprenorphine for opioid dependence, disulfiram for cocaine dependence, bupropion for methamphetamine dependence, and naltrexone for alcohol dependence. Physician use of medications coupled with encouragement to adhere to all aspects of treatment including counseling and other psychosocial interventions can produce substantial rewards in terms of keeping patients involved in their HIV care and improving overall patient health and functioning. This article summarizes a presentation made by R. Douglas Bruce, MD, MA, MSc, at the 12th Annual Clinical Conference for the Ryan White HIV/AIDS Program held in October 2009 in Dallas, Texas. The original presentation is available as a Webcast at www.iasusa.org.
Topic(s):
Opioids & Substance Use
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Reference Links: View the PubMed citation for Medical interventions for addictions in the primary care setting