Quality of Mental Health Care at a Student-Run Clinic: Care for the Uninsured Exceeds that of Publicly and Privately Insured Populations.
Diagnosing and treating depression in a primary care practice is an important, yet difficult task, especially for safety-net practices serving the uninsured. In the United States healthcare system, there is a mismatch between the need for mental health care and access to services. This disparity is...
| Publicado en: | Journal of Community Health Vol. 36; no. 5; pp. 733 - 741 |
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| Autores principales: | , , , , , |
| Formato: | Artículo |
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Springer Nature
Oct2011
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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=65020948&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 65020948 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00945145 JCH jtl: Journal of Community Health issn: 00945145 maglogo: N pubinfo: dt: Oct2011 vid: 36 iid: 5 pid: 237 pub: Springer Nature artinfo: ui: 65020948 10.1007/s10900-011-9367-5 ppf: 733 ppct: 8 formats: fmt: @attributes: type: P size: 232KB tig: atl: Quality of Mental Health Care at a Student-Run Clinic: Care for the Uninsured Exceeds that of Publicly and Privately Insured Populations. aug: au: Liberman, Kate M. Meah, Yasmin S. Chow, Andrew Tornheim, Jeffrey Rolon, Omayra Thomas, David C. affil: Mount Sinai School of Medicine, Center for Advanced Medicine, One Gustave Levy Place New York 10029 USA Yale-New Haven Hospital Internal Medicine/Pediatrics Department, 20 York Street New Haven 06510 USA su: New York (State) Outpatient medical care Analysis of variance Mental depression Health insurance Medical quality control Psychiatric treatment Antidepressants Chi-squared test Medical referrals Medically uninsured persons Probability theory Research funding Statistics Data analysis Data analysis software sug: subj: Outpatient medical care Analysis of variance Mental depression Health insurance Medical quality control Psychiatric treatment New York (State) Community health centres All other out-patient care centres All Other Outpatient Care Centers Medicinal and Botanical Manufacturing Pharmaceutical and medicine manufacturing Direct group life, health and medical insurance carriers Direct individual life, health and medical insurance carriers Antidepressants Chi-squared test Medical referrals Medically uninsured persons Probability theory Research funding Statistics Data analysis Data analysis software keyword: Depression East Harlem Health Outreach Partnership EHHOP Immigrant Medical students Mental health care Quality of care Student run free clinic Uninsured Depression East Harlem Health Outreach Partnership EHHOP Immigrant Medical students Mental health care Quality of care Student run free clinic Uninsured ab: Diagnosing and treating depression in a primary care practice is an important, yet difficult task, especially for safety-net practices serving the uninsured. In the United States healthcare system, there is a mismatch between the need for mental health care and access to services. This disparity is most striking among the uninsured. Mental health disorders are more prevalent among the uninsured, and even when diagnosed with mental illness, they are less likely to obtain necessary treatment than insured patients. Given the increasing burden of depression on society, growing numbers of uninsured and negative repercussions of untreated mental illness, improvements in screening and management protocols are becoming more important in primary care practices serving this population. The quality of depression treatment at commercial and public insurance plans in New York City (NYC) and New York State (NYS) were compared to that of the East Harlem Health Outreach Partnership (EHHOP), the student-run clinic of the Mount Sinai School of Medicine. Based on the comparison, the study made recommendations for an integrated, on-site mental health service program at the community health clinic. A cohort of 49 depressed patients were evaluated and treated at the EHHOP clinic. The quality of the mental health care was evaluated according to variables from the Healthcare Effectiveness Data and Information Set (HEDIS). Indicators of quality included demographics, method of diagnosis, type of pharmacological treatment, referral to specialty care, patient adherence to follow-up care and adherence to pharmacologic treatment. When compared to insured patients in NYS, more EHHOP patients had the appropriate number of physician contacts after being diagnosed with depression than patients with commercial health plans ( P = 0.008) and Medicaid ( P = 0.09). Similarly, a greater number of EHHOP patients had better acute phase ( P = 0.001; P = 0.096) and continuous phase ( P = 0.049; P = 0.88) pharmacologic treatment than patients with commercial health plans and Medicaid, respectively. EHHOP meets and, in some areas, exceeds the quality of depression treatment when compared to insured populations. Even though EHHOP already surpasses these indicators, the clinic can improve its diagnostic capabilities, prescription medication adherence, and referral care follow-through by creating an on-site mental health clinic. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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