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Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research 3/2018

30.11.2017 | Original Article

Impact of a Usual Source of Care on Health Care Use, Spending, and Quality Among Adults With Mental Health Conditions

verfasst von: Catherine A. Fullerton, Whitney P. Witt, Clifton M. Chow, Manjusha Gokhale, Christine E. Walsh, Erika L. Crable, Sarah Naeger

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 3/2018

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Abstract

Physical comorbidities associated with mental health conditions contribute to high health care costs. This study examined the impact of having a usual source of care (USC) for physical health on health care utilization, spending, and quality for adults with a mental health condition using Medicaid administrative data. Having a USC decreased the probability of inpatient admissions and readmissions. It decreased expenditures on emergency department visits for physical health, 30-day readmissions, and behavioral health inpatient admissions. It also had a positive effect on several quality measures. Results underscore the importance of a USC for physical health and integrated care for adults with mental health conditions.
Literatur
Zurück zum Zitat Alegria, M., Jackson, J. S., Kessler, R. C., & Takeuchi, D. (2003). National Comorbidity Survey Replication (NCS-R), 2001–2003. Ann Arbor: Inter-university Consortium for Political and Social Research. Alegria, M., Jackson, J. S., Kessler, R. C., & Takeuchi, D. (2003). National Comorbidity Survey Replication (NCS-R), 2001–2003. Ann Arbor: Inter-university Consortium for Political and Social Research.
Zurück zum Zitat Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36(1), 1–10.CrossRefPubMed Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36(1), 1–10.CrossRefPubMed
Zurück zum Zitat Basu, J., Friedman, B., & Burstin, H. (2002). Primary care, HMO enrollment, and hospitalization for ambulatory care sensitive conditions: A new approach. Medical Care, 40, 1260–1269.CrossRefPubMed Basu, J., Friedman, B., & Burstin, H. (2002). Primary care, HMO enrollment, and hospitalization for ambulatory care sensitive conditions: A new approach. Medical Care, 40, 1260–1269.CrossRefPubMed
Zurück zum Zitat DeVoe, J. E., Fryer, G. E., Phillips, R., & Green, L. (2003). Receipt of preventive care among adults: Insurance status and usual source of care. American Journal of Public Health, 93, 786–791.CrossRefPubMedPubMedCentral DeVoe, J. E., Fryer, G. E., Phillips, R., & Green, L. (2003). Receipt of preventive care among adults: Insurance status and usual source of care. American Journal of Public Health, 93, 786–791.CrossRefPubMedPubMedCentral
Zurück zum Zitat Doescher, M. P., Saver, B. G., Fascella, K., & Franks, P. (2004). Preventive care: Does continuity count? Journal of General Internal Medicine, 19(6), 632–637.CrossRefPubMedPubMedCentral Doescher, M. P., Saver, B. G., Fascella, K., & Franks, P. (2004). Preventive care: Does continuity count? Journal of General Internal Medicine, 19(6), 632–637.CrossRefPubMedPubMedCentral
Zurück zum Zitat Druss, B. G., Rohrbaugh, R. M., Levinson, C. M., & Rosenheck, R. A. (2001). Integrated medical care for patients with serious psychiatric illness: A randomized trial. Archives of General Psychiatry, 58, 861–868.CrossRefPubMed Druss, B. G., Rohrbaugh, R. M., Levinson, C. M., & Rosenheck, R. A. (2001). Integrated medical care for patients with serious psychiatric illness: A randomized trial. Archives of General Psychiatry, 58, 861–868.CrossRefPubMed
Zurück zum Zitat Falik, M., Needleman, J., Wells, B. L., & Korb, J. (2001). Ambulatory care sensitive hospitalizations and emergency visits: Experiences of medicaid patients using federally qualified health centers. Medical Care, 39, 551–561.CrossRefPubMed Falik, M., Needleman, J., Wells, B. L., & Korb, J. (2001). Ambulatory care sensitive hospitalizations and emergency visits: Experiences of medicaid patients using federally qualified health centers. Medical Care, 39, 551–561.CrossRefPubMed
Zurück zum Zitat Little, R. J., & Rubin, D. B. (2000). Causal effects in clinical and epidemiological studies via potential outcomes: Concepts and analytical approaches. Annual Review of Public Health, 21, 121–145.CrossRefPubMed Little, R. J., & Rubin, D. B. (2000). Causal effects in clinical and epidemiological studies via potential outcomes: Concepts and analytical approaches. Annual Review of Public Health, 21, 121–145.CrossRefPubMed
Zurück zum Zitat Mechanic, D., & Bilder, S. (2004). Treatment of people with mental illness: a decade-long perspective. Health Affairs (Millwood), 23, 84–95.CrossRef Mechanic, D., & Bilder, S. (2004). Treatment of people with mental illness: a decade-long perspective. Health Affairs (Millwood), 23, 84–95.CrossRef
Zurück zum Zitat Narrow, W. E., Regier, D. A., Norquist, G., Rae, D. S., Kennedy, C., & Arons, B. (2000). Mental health service use by Americans with severe mental illnesses. Social Psychiatry and Psychiatric Epidemiology, 35, 147–155.CrossRefPubMed Narrow, W. E., Regier, D. A., Norquist, G., Rae, D. S., Kennedy, C., & Arons, B. (2000). Mental health service use by Americans with severe mental illnesses. Social Psychiatry and Psychiatric Epidemiology, 35, 147–155.CrossRefPubMed
Zurück zum Zitat Rosenbaum, P. R. (1991). Discussing hidden bias in observational studies. Annals of Internal Medicine, 115, 901–990.CrossRefPubMed Rosenbaum, P. R. (1991). Discussing hidden bias in observational studies. Annals of Internal Medicine, 115, 901–990.CrossRefPubMed
Zurück zum Zitat Rosenblatt, R. A., Wright, G. E., Baldwin, L. M., Chan, L., Clitherow, P., Chen, F. M., & Hart, L. G. (2000). The effect of the doctor-patient relationship on emergency department use among the elderly. American Journal of Public Health, 90, 97–102.CrossRefPubMedPubMedCentral Rosenblatt, R. A., Wright, G. E., Baldwin, L. M., Chan, L., Clitherow, P., Chen, F. M., & Hart, L. G. (2000). The effect of the doctor-patient relationship on emergency department use among the elderly. American Journal of Public Health, 90, 97–102.CrossRefPubMedPubMedCentral
Zurück zum Zitat Rubin, D. B. (1997). Estimating causal effects from large data sets using propensity scores. Annals of Internal Medicine, 127(Part 2), 757–763.CrossRefPubMed Rubin, D. B. (1997). Estimating causal effects from large data sets using propensity scores. Annals of Internal Medicine, 127(Part 2), 757–763.CrossRefPubMed
Zurück zum Zitat Rubin, D. B., & Thomas, N. (1996). Matching using estimated propensity scores: Relating theory to practice. Biometrics, 52, 249–264.CrossRefPubMed Rubin, D. B., & Thomas, N. (1996). Matching using estimated propensity scores: Relating theory to practice. Biometrics, 52, 249–264.CrossRefPubMed
Zurück zum Zitat Sayers, S. L., Hanrahan, N., Kutney, A., Clarke, S. P., Reis, B. F., & Riegel, B. (2007). Psychiatric comorbidity and greater hospitalization risk, longer length of stay, and higher hospitalization costs in older adults with heart failure. Journal of the American Geriatrics Society, 55, 1585–1591.CrossRefPubMed Sayers, S. L., Hanrahan, N., Kutney, A., Clarke, S. P., Reis, B. F., & Riegel, B. (2007). Psychiatric comorbidity and greater hospitalization risk, longer length of stay, and higher hospitalization costs in older adults with heart failure. Journal of the American Geriatrics Society, 55, 1585–1591.CrossRefPubMed
Zurück zum Zitat Sokal, J., Messias, E., Dickerson, F. B., Kreyenbuhl, J., Brown, C. H., Goldberg, R. W., & Dixon, L. B. (2004). Comorbidity of medical illnesses among adults with serious mental illness who are receiving community psychiatric services. Journal of Nervous and Mental Disease, 192, 421–427.CrossRefPubMed Sokal, J., Messias, E., Dickerson, F. B., Kreyenbuhl, J., Brown, C. H., Goldberg, R. W., & Dixon, L. B. (2004). Comorbidity of medical illnesses among adults with serious mental illness who are receiving community psychiatric services. Journal of Nervous and Mental Disease, 192, 421–427.CrossRefPubMed
Zurück zum Zitat Sox, C. M., Swartz, K., Burstin, H. R., & Brennan, T. A. (1998). Insurance or a regular physician: Which is the most powerful predictor of health care? American Journal of Public Health, 88, 364–370.CrossRefPubMedPubMedCentral Sox, C. M., Swartz, K., Burstin, H. R., & Brennan, T. A. (1998). Insurance or a regular physician: Which is the most powerful predictor of health care? American Journal of Public Health, 88, 364–370.CrossRefPubMedPubMedCentral
Zurück zum Zitat Stockbridge, E. L., Philpot, L. M., & Pagán, J. A. (2014). Patient-centered medical home features and expenditures by Medicare beneficiaries. American Journal of Managed Care, 20, 379–385.PubMed Stockbridge, E. L., Philpot, L. M., & Pagán, J. A. (2014). Patient-centered medical home features and expenditures by Medicare beneficiaries. American Journal of Managed Care, 20, 379–385.PubMed
Zurück zum Zitat Weiss, L. J., & Blustein, J. (1996). Faithful patients: The effect of long-term physician-patient relationships on the costs and use of health care by older Americans. American Journal of Public Health, 86, 1742–1747.CrossRefPubMedPubMedCentral Weiss, L. J., & Blustein, J. (1996). Faithful patients: The effect of long-term physician-patient relationships on the costs and use of health care by older Americans. American Journal of Public Health, 86, 1742–1747.CrossRefPubMedPubMedCentral
Zurück zum Zitat Witt, W. P., Fullerton, C. A., Chow, C., Gokhale, M., Naeger, S., Walsh, C., & Karnell, L. (2017). Effect of having a usual source of care on health care outcomes among children with serious emotional disturbance. Academic Pediatrics, 17(1), 45–52.CrossRefPubMed Witt, W. P., Fullerton, C. A., Chow, C., Gokhale, M., Naeger, S., Walsh, C., & Karnell, L. (2017). Effect of having a usual source of care on health care outcomes among children with serious emotional disturbance. Academic Pediatrics, 17(1), 45–52.CrossRefPubMed
Metadaten
Titel
Impact of a Usual Source of Care on Health Care Use, Spending, and Quality Among Adults With Mental Health Conditions
verfasst von
Catherine A. Fullerton
Whitney P. Witt
Clifton M. Chow
Manjusha Gokhale
Christine E. Walsh
Erika L. Crable
Sarah Naeger
Publikationsdatum
30.11.2017
Verlag
Springer US
Erschienen in
Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 3/2018
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-017-0838-6

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