Potentially Preventable Medical Hospitalizations and Emergency Department Visits by the Behavioral Health Population.

This study investigated geographic variation in potentially preventable medical outcomes that might be used to monitor access to high-quality medical care in the behavioral health population. Analyzing public and non-public data sources from California on adults admitted between 2009 and 2011 to all...

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Publicado en:Journal of Behavioral Health Services & Research Vol. 45; no. 3; pp. 370 - 389
Autores principales: Schmidt, Eric M., Behar, Simone, Barrera, Alinne, Cordova, Matthew, Beckum, Leonard
Formato: research tables/charts Journal Article
Publicado: Springer Nature Jul2018
Acceso en línea:Ver este registro en EBSCOhost
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          Schmidt, Eric M.
          Behar, Simone
          Barrera, Alinne
          Cordova, Matthew
          Beckum, Leonard
        affil: Center for Innovation to Implementation (Ci2i), HSR&D, VA Palo Alto Health Care System, 795 Willow Road, 94025, Menlo Park, CA, USA
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        subj:
          Emergency Service Statistics and Numerical Data
          Chronic Disease Epidemiology
          Primary Health Care Statistics and Numerical Data
          Mental Disorders Epidemiology
          Hospitalization Statistics and Numerical Data
          Health Services Accessibility Statistics and Numerical Data
          Socioeconomic Factors
          Human
          Adult
          Female
          Quality of Health Care
          Resource Databases
          Poverty
          Young Adult
          Male
          Adolescence
          Linear Regression
          Middle Age
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Adult: 19-44 years
          Adolescent: 13-18 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: This study investigated geographic variation in potentially preventable medical outcomes that might be used to monitor access to high-quality medical care in the behavioral health population. Analyzing public and non-public data sources from California on adults admitted between 2009 and 2011 to all non-federal licensed medical inpatient (N = 6,603,146) or emergency department units (N = 21,011,958) revealed that 33.6% of nearly 1 million potentially preventable hospitalizations and 9.8% of 1.5 million potentially preventable emergency department visits were made by people with mental or substance use disorder diagnoses. Across California counties or county groups (N = 36), a higher preventable hospitalization rate in the behavioral health population was associated with higher poverty, higher primary care safety net utilization, and fewer mental health providers. Although further validation is required, rates of potentially preventable encounters, particularly hospitalizations, may be useful measures of access to high-quality care in the behavioral health population.
      pubtype: Academic Journal
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    language: English
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