Evaluation of a Health Information Exchange for Linkage to Mental Health Care After an Emergency Department Visit

被引：0

作者：

Parrish, Canada ^{[1
]}

Basu, Anirban ^{[2
,3
]}

McConnell, John ^{[10
,11
]}

Frogner, Bianca K. ^{[4
,5
]}

Reddy, Ashok ^{[6
,12
]}

Zatzick, Douglas F. ^{[7
,8
]}

Kreuter, William ^{[2
]}

Sabbatini, Amber K. ^{[1
,9
]}

机构：

[1] Univ Washington, Dept Emergency Med, Sect Populat Hlth, Seattle, WA 98195 USA

[2] Univ Washington, Comparat Hlth Outcomes Policy & Econ Inst, Seattle, WA 98195 USA

[3] Univ Washington, Dept Hlth Serv & Econ, Seattle, WA 98195 USA

[4] Univ Washington, Dept Family Med, Seattle, WA 98195 USA

[5] Univ Washington, Ctr Workforce Studies, Seattle, WA 98195 USA

[6] Univ Washington, Dept Med, Div Gen Internal Med, Seattle, WA USA

[7] Univ Washington, Dept Psychiat & Behav Sci, Seattle, WA 98195 USA

[8] Univ Washington, Ctr Scholarship Patient Care & Qual & Safety, Seattle, WA 98195 USA

[9] Univ Washington, Ctr Hlth Innovat & Policy, Seattle, WA 98195 USA

[10] Oregon Hlth & Sci Univ, Dept Emergency Med, Portland, OR 97201 USA

[11] Oregon Hlth & Sci Univ, Ctr Hlth Syst Effectiveness, Portland, OR 97201 USA

[12] VA Hlth Serv Res & Dev, Seattle, WA USA

来源：

PSYCHIATRIC SERVICES | 2023年 / 74卷 / 05期

关键词：

Community mental health services; Mental health systems/hospitals; State hospitals;

D O I：

10.1176/appi.ps.20220231

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Aligning with Washington State's goal of reducing unnecessary emergency department (ED) use and improving linkage to outpatient primary and behavioral health care, this study eval-uated whether an Emergency Department Information Ex-change (EDIE) improved linkage to care for Medicaid enrollees with mental health conditions. Follow-up with any physician at 30 days increased slightly, although mental health-specific follow-up declined over time. Difference-in-differences esti-mates revealed no effect of EDIE on linkage to care after an ED visit. Medicaid beneficiaries with mental health needs and high utilization of the ED likely require additional support to increase timely and appropriate follow-up care.

引用

页码：555 / 558

页数：4

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