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

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