The medical home functions of primary care practices that care for adults with psychological distress: a cross-sectional study
| العنوان: | The medical home functions of primary care practices that care for adults with psychological distress: a cross-sectional study |
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| المؤلفون: | Shawn Linman, Ivy Benjenk, Jie Chen |
| المصدر: | BMC Health Services Research, Vol 19, Iss 1, Pp 1-11 (2019) BMC Health Services Research |
| بيانات النشر: | BMC, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Male, Mental Health Services, Medical home, medicine.medical_specialty, Health informatics, Health administration, 03 medical and health sciences, 0302 clinical medicine, Patient-Centered Care, Health care, medicine, Humans, 030212 general & internal medicine, Primary Health Care, business.industry, 030503 health policy & services, Health Policy, Nursing research, Public health, lcsh:Public aspects of medicine, 1. No poverty, lcsh:RA1-1270, Middle Aged, Primary care, Mental health, 3. Good health, Cross-Sectional Studies, Health Care Surveys, Family medicine, Female, 0305 other medical science, business, Medical Expenditure Panel Survey, Stress, Psychological, Research Article |
| الوصف: | Background Primary care practices are changing the way that they provide care by increasing their medical home functionality. Medical home functionality can improve access to care and increase patient-centeredness, which is essential for persons with mental health issues. This study aims to explore the degree to which medical home functions have been implemented by primary care practices that care for adults with psychological distress. Methods Analysis of the 2015 Medical Expenditure Panel Survey Household Component and Medical Organizations Survey. This unique data set links data from a nationally representative sample of US households to the practices in which they receive primary care. This study focused on adults aged 18 and above. Results As compared to adults without psychological distress, adults with psychological distress had significantly higher rates of chronic illness and poverty. Adults with psychological distress were more likely to receive care from practices that include advanced practitioners and are non-profit or hospital-based. Multivariate models that were adjusted for patient-level and practice-level characteristics indicated that adults with psychological distress are as likely to receive primary care from practices with medical home functionality, including case management, electronic health records, flexible scheduling, and PCMH certification, as adults without psychological distress. Conclusions Practices that care for adults with mental health issues have not been left behind in the transition towards medical home models of primary care. Policy makers should continue to prioritize adults with mental health issues to receive primary care through this model of delivery due to this population’s great potential to benefit from improved access and care coordination. Trial registration This study does not report the results of a health care intervention on human subject’s participants. |
| اللغة: | English |
| تدمد: | 1472-6963 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e1cb72866c19325679b9a48253b530d6Test http://link.springer.com/article/10.1186/s12913-018-3845-8Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....e1cb72866c19325679b9a48253b530d6 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14726963 |
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