Age and Mental Health Status Differences in Medical Service Utilization in an Integrated Primary Care Setting

2004 ◽  
Vol 27 (4) ◽  
pp. 71-82
Author(s):  
David C. Speer ◽  
Larry W. Dupree ◽  
Celestino Vega ◽  
Myra G. Schneider ◽  
Jini M. Hanjian ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Status ◽  
Service Utilization ◽  
Medical Service ◽  
Care Setting ◽  
Primary Care Setting ◽  
Integrated Primary Care ◽  
Medical Service Utilization ◽  
Status Differences

Integration of mental health resources in a primary care setting leads to increased provider satisfaction and patient access

2013 ◽  
Vol 35 (5) ◽  
pp. 461-467 ◽  
Author(s):  
Kristin S. Vickers ◽  
Jennifer L. Ridgeway ◽  
Julie C. Hathaway ◽  
Jason S. Egginton ◽  
Angela B. Kaderlik ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Health Resources ◽  
Patient Access ◽  
Provider Satisfaction

Providing Mental Health Services in the Primary Care Setting: the Experiences and Perceptions of General Practitioners at a New York City Clinic

2018 ◽  
Vol 89 (4) ◽  
pp. 897-908 ◽  
Author(s):  
Issa Papiss Bagayogo ◽  
Katharina Turcios-Wiswe ◽  
Kanako Taku ◽  
Lauren Peccoralo ◽  
Craig L. Katz
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
New York ◽  
New York City ◽  
Mental Health Services ◽  
Health Services ◽  
General Practitioners ◽  
York City ◽  
Care Setting ◽  
Primary Care Setting

scholarly journals Primary care visits can reduce the risk of potentially avoidable hospitalizations among persons with diabetes in France

2020 ◽  
Vol 30 (6) ◽  
pp. 1056-1061
Author(s):  
Vera Georgescu ◽  
Anders Green ◽  
Peter B Jensen ◽  
Sören Möller ◽  
Eric Renard ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Status ◽  
Protective Effect ◽  
Care Setting ◽  
Primary Care Setting ◽  
Exposure Period ◽  
Diabetic Patients ◽  
Indirect Measure ◽  
Individual Level ◽  
Avoidable Hospitalizations

Abstract Background Diabetes is a frequent chronic condition, which can lead to costly complications if not managed well in the primary care setting. Potentially avoidable hospitalizations (PAH) are considered as an indirect measure of primary care. However, the association between primary care use and PAH in diabetic patients has not been investigated in France. Methods We investigate the association between primary care indicators and PAH at an individual level among persons with diabetes in a population-based cohort study on the French national health insurance database (EGB sample). PAH occurrence in 2013 was modeled as a function of primary care use and access, health status and socio-economic indicators over the exposure period 2011–12 using a cause-specific hazards model with death as a competing event. Results We included 25 293 diabetics in our cohort, among which 385 (1.5%) experienced at least 1 PAH in 2013. After adjustment on health status indicators, primary care use had a protective effect against PAH. Diabetic patients who had seen a general practitioner (GP) 10–14 times had a reduced hazard of PAH compared to less frequent encounters (HR=0.49, P<0.001). The effect size decreased when the number of encounters increased, suggesting a remaining confounding effect of health status. Conclusions For the first time in France, this study shows a protective effect of the number of GP encounters against PAH at an individual level and highlights the importance of a frequent monitoring of diabetic patients in the primary care setting to prevent PAH occurrence.

scholarly journals Telepsychiatry and integrated primary care: setting expectations and creating an effective process for success

mHealth ◽  
2020 ◽  
Vol 6 ◽  
pp. 29-29 ◽  
Author(s):  
Jacqueline Calderone ◽  
Amy Lopez ◽  
Sarah Schwenk ◽  
Joel Yager ◽  
Jay H. Shore
Keyword(s):  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Integrated Primary Care

scholarly journals 2264 Early findings from a real-world RCT: Acceptance and commitment therapy (ACT) for persistent pain in an integrated primary care setting

2018 ◽  
Vol 2 (S1) ◽  
pp. 81-81
Author(s):  
Kathryn E. Kanzler ◽  
Patricia Robinson ◽  
Mariana Munante ◽  
Donald McGeary ◽  
Jennifer Potter ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Persistent Pain ◽  
Integrated Primary Care ◽  
Treatment As Usual ◽  
Integrated Behavioral Health ◽  
Behavioral Health Provider ◽  
Acceptance And Commitment ◽  
Opioid Medications

OBJECTIVES/SPECIFIC AIMS: This study seeks to test the feasibility and effectiveness of a brief Acceptance and commitment therapy (ACT) treatment for patients with persistent pain in a patient-centered medical home. METHODS/STUDY POPULATION: Participants are recruited via secure messaging, clinic advertisements and clinician referral. Primary care patients age 18 and older with at least 1 pain condition for 12 weeks or more in duration are stratified based on pain severity ratings and randomized into (a) ACT intervention or (b) control group [Enhanced Treatment as Usual (E-TAU)]. Participants in the ACT arm attend 1 individual visit with an integrated behavioral health provider, followed by 3 weekly ACT classes and a booster class 2 months later. E-TAU participants will receive usual care plus patient education handouts informed by cognitive behavioral science. Currently, 17% of our overall goal of 60 patients have completed ACT or enhanced treatment as usual. Average participant age is 49 years old, 70% female, and 70% Hispanic/Latino. Most report multisite pain conditions (e.g., musculoskeletal, fibromyalgia) and 30% are taking opioid medications. Data analysis in this presentation will include early correlational findings from baseline assessments. Upon study completion, we will analyze data using a general linear mixed regression model with repeated measures. RESULTS/ANTICIPATED RESULTS: The overall hypothesis is that brief ACT treatment reduces physical disability in patients with persistent pain when delivered by an integrated behavioral health provider in primary care. By examining a subset of patients on opioid medications, we also anticipate a reduction in opioid misuse behaviors. Additionally, it is anticipated that improvements in patient functioning will be mediated by patient change in pain acceptance and patient engagement in values-consistent behaviors. DISCUSSION/SIGNIFICANCE OF IMPACT: This pilot study will establish preliminary data about the feasibility and effectiveness of addressing persistent pain in a generalizable, “real-world” integrated primary care setting. Data will help support a larger trial in the future. If effective, findings could improve treatment methods and quality of life for patients with persistent pain using a scalable approach.

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