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

被引：9

作者：

Fullerton, Catherine A. ^{[1
]}

Witt, Whitney P. ^{[2
]}

Chow, Clifton M. ^{[1
,3
]}

Gokhale, Manjusha ^{[1
]}

Walsh, Christine E. ^{[2
]}

Crable, Erika L. ^{[1
,4
]}

Naeger, Sarah ^{[5
]}

机构：

[1] IBM Watson Hlth, Cambridge, MA USA

[2] IBM Watson Hlth, Durham, NC 27703 USA

[3] Cambridge Hlth Alliance, Cambridge, MA USA

[4] Boston Univ, Sch Publ Hlth, Boston, MA USA

[5] IBM Watson Hlth, Bethesda, MD USA

来源：

ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH | 2018年 / 45卷 / 03期

关键词：

Usual source of care; Spending; Quality; Integration; Mental health conditions; MEDICAL-CARE; PROPENSITY SCORES; PREVENTIVE CARE; ILLNESS; COMORBIDITY; INSURANCE; SERVICES; OUTCOMES; HOSPITALIZATION; DISORDERS;

D O I：

10.1007/s10488-017-0838-6

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：

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.

引用

页码：462 / 471

页数：10

共 50 条

[1] Impact of a Usual Source of Care on Health Care Use, Spending, and Quality Among Adults With Mental Health Conditions
Catherine A. Fullerton
Whitney P. Witt
Clifton M. Chow
Manjusha Gokhale
Christine E. Walsh
Erika L. Crable
Sarah Naeger
[J]. Administration and Policy in Mental Health and Mental Health Services Research, 2018, 45 : 462 - 471
[2] Usual Source Of Care: An Important Source Of Variation In Health Care Spending
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[3] Changes in usual source of care and perceptions of health care access, quality, and use
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Bartell, JM
[J]. MEDICAL CARE, 2004, 42 (10) : 975 - 984
[4] Health Care Utilization and Spending for Children With Mental Health Conditions in Medicaid
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[J]. JOURNAL OF GENERAL INTERNAL MEDICINE, 2009, 24 : 508 - 513
[6] Perceived Quality of Care, Receipt of Preventive Care, and Usual Source of Health Care Among Undocumented and Other Latinos
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[J]. Journal of General Internal Medicine, 2009, 24 : 508 - 513
[7] A Reduction in Health Care Expenditures Linked to Mental Health Service Use Among Adults With Chronic Physical Conditions
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[8] MODELS OF CARE FOR OLDER ADULTS WITH MENTAL HEALTH AND SUBSTANCE USE CONDITIONS
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[J]. GERONTOLOGIST, 2012, 52 : 512 - 512
[9] Spending for state mental health care
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[J]. PSYCHIATRIC SERVICES, 2001, 52 (10) : 1294 - 1294
[10] Usual Source of Care as a Health Insurance Substitute for US Adults With Diabetes?
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