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Veterans Health Administration Investments In Primary Care And Mental Health Integration Improved Care Access

Leung, Lucinda B ; Rubenstein, Lisa V ; Yoon, Jean ; Post, Edward P ; Jaske, Erin ; Wells, Kenneth B ; Trivedi, Ranak B

Health Affairs, 2019-08, Vol.38 (8), p.1281-1288 [Periódico revisado por pares]

United States: The People to People Health Foundation, Inc., Project HOPE

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Título:
Veterans Health Administration Investments In Primary Care And Mental Health Integration Improved Care Access
Autor: Leung, Lucinda B ; Rubenstein, Lisa V ; Yoon, Jean ; Post, Edward P ; Jaske, Erin ; Wells, Kenneth B ; Trivedi, Ranak B
Assuntos: Access ; Chronic illnesses ; Clinics ; Collaboration ; Cost estimates ; Drug use ; Health care ; Health care expenditures ; Health care management ; Health services ; Hospital administration ; Illnesses ; Initiatives ; Integrated care ; Integrated delivery systems ; Integration ; Investments ; Management ; Medical screening ; Mental depression ; Mental health ; Mental health care ; Military hospitals ; Outpatient treatment ; Patient satisfaction ; Patients ; Preventive medicine ; Primary care ; Quality ; Specialists ; Teams ; Veterans ; Workforce planning
É parte de: Health Affairs, 2019-08, Vol.38 (8), p.1281-1288
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: Aiming to increase care access, the national Primary Care-Mental Health Integration (PC-MHI) initiative of the Veterans Health Administration (VHA) embedded specialists, care managers, or both in primary care clinics to collaboratively care for veterans with psychiatric illness. The initiative's effects on health care use and cost patterns were examined among 5.4 million primary care patients in 396 VHA clinics in 2013-16. The median rate of patients who saw a PC-MHI provider was 6.3 percent. Each percentage-point increase in the proportion of clinic patients seen by these providers was associated with 11 percent more mental health and 40 percent more primary care visits but also with 9 percent higher average total costs per patient per year. At the mean, 2.5 integrated care visits substituted for each specialty-based mental health visit that did not occur. PC-MHI was associated with improved access to outpatient care, albeit at increased total cost to the VHA. Successful implementation of integrated care necessitates significant investment and multidisciplinary partnership within health systems.
Editor: United States: The People to People Health Foundation, Inc., Project HOPE
Idioma: Inglês

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Veterans Health Administration Investments In Primary Care And Mental Health Integration Improved Care Access

Leung, Lucinda B ; Rubenstein, Lisa V ; Yoon, Jean ; Post, Edward P ; Jaske, Erin ; Wells, Kenneth B ; Trivedi, Ranak B

United States: The People to People Health Foundation, Inc., Project HOPE

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