The Effects of an Enhanced Primary Care Model for Patients with Serious Mental Illness on Emergency Department Utilization.
Patients with Serious Mental Illness (SMI) have high rates of emergency department visits and high premature mortality rates, often due to poor primary care. A model of enhanced primary care services integrated in a behavioral health location is being implemented and studied at the UNC WakeBrook Pri...
| Publicado en: | Community Mental Health Journal Vol. 56; no. 7; pp. 1311 - 1318 |
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| Autores principales: | , , |
| Formato: | Artículo |
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Springer Nature
Oct2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=145260104&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 145260104 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00103853 CMH jtl: Community Mental Health Journal issn: 00103853 maglogo: N pubinfo: dt: Oct2020 vid: 56 iid: 7 pid: 237 pub: Springer Nature artinfo: ui: 145260104 10.1007/s10597-020-00645-0 ppf: 1311 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P size: 723KB tig: atl: The Effects of an Enhanced Primary Care Model for Patients with Serious Mental Illness on Emergency Department Utilization. aug: au: Belson, Connor Sheitman, Brian Steiner, Beat affil: University of North Carolina School of Medicine, Chapel Hill, NC, USA UNC Wakebrook Primary Care Center, 107 Sunnybrook Rd, 27610, Raleigh, NC, USA University of North Carolina at Wakebrook, Raleigh, NC, USA su: North Carolina Mental illness treatment Mental health Primary health care Human services programs Retrospective studies Hospital emergency services Integrated health care delivery Longitudinal method Medical care use Medical records Quality assurance Comorbidity Descriptive statistics Acquisition of data methodology sug: subj: Mental illness treatment Mental health Primary health care Human services programs Retrospective studies North Carolina Offices of Mental Health Practitioners (except Physicians) Hospital emergency services Integrated health care delivery Longitudinal method Medical care use Medical records Quality assurance Comorbidity Descriptive statistics Acquisition of data methodology keyword: Bipolar disorder Emergency Department Utilization Physical health Schizophrenia Serious mental illness Bipolar disorder Emergency Department Utilization Physical health Schizophrenia Serious mental illness ab: Patients with Serious Mental Illness (SMI) have high rates of emergency department visits and high premature mortality rates, often due to poor primary care. A model of enhanced primary care services integrated in a behavioral health location is being implemented and studied at the UNC WakeBrook Primary Care Center (UNCWPC). This research was conducted as a retrospective cohort study. ED Visit Utilization before and after establishing care at UNCWPC were calculated for a cohort and a subset of patients. There was a decrease in ED utilization after years 3–4 of enrollment for physical health complaints for the overall cohort (n = 101), from 3.23 to 1.83 visits/person/year, and for patients with multiple physical comorbidities (n = 50), from 4.04 to 2.48 visits/person/year. This study indicated that an enhanced model of primary care can help decrease ED utilization for primary care conditions. The decline was not seen until the patients were well-established. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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