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- Title
Progress and Pitfalls in the Provision of Quality Care for Adults With Attention Deficit Hyperactivity Disorder in Primary Care.
- Authors
Callen, Elisabeth F.; Clay, Tarin L.; Alai, Jillian; Goodman, David W.; Adler, Lenard A.; Shields, Joel; Faraone, Stephen V.
- Abstract
Objective: Quality care for attention deficit hyperactivity disorder (ADHD) in adults has lagged behind other psychiatric disorders. We sought to assess how the achievement of quality measures (QMs) for diagnosing and treating ADHD in adults has changed over time. Method: We assessed 10 QMs in electronic health records (EHRs) from primary care and behavioral health clinics from 2010 to 2020 for 71,310 patients diagnosed with ADHD. Results: The achievement of QMs increased over time (p <.001). Some showed increases to high levels; others remained low throughout the observation period. No patients achieved more than six of 10 QMs in any year. Small but significant effects for sex, race, ethnicity, practice ownership, practice type, and age. Conclusion: Increase in quality care from 2010 to 2020 along with clear evidence that more efforts are needed to improve quality of care for adults with ADHD seen in primary care.
- Subjects
ATTENTION-deficit hyperactivity disorder; MENTAL health services; PRIMARY care; ELECTRONIC health records; ADULTS
- Publication
Journal of Attention Disorders, 2023, Vol 27, Issue 6, p575
- ISSN
1087-0547
- Publication type
Article
- DOI
10.1177/10870547231155875