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- Title
Evidence that patient-centered medical homes are effective in reducing emergency department admissions for patients with depression.
- Authors
Hearld, Kristine R.; Hearld, Larry R.; Landry, Amy Y.; Budhwani, Henna
- Abstract
The patient-centered medical home (PCMH) has increasingly been touted as one means of integrating behavioral health and primary care and more holistically caring for patients with chronic disease. With its whole person orientation, the PCMH presents an opportunity to reduce emergency department visits for patients with depression by focusing on the patient and his/her health care needs, facilitating communication among providers and patients, and improving patients' access to care providers across settings. This study examines the relationship between PCMH capacity – defined as the ability to offer a service identified as a component part of the PCMH – and the number of emergency department visits for patients with depression. Health plan claims data, self-report data from physician practices on their PCMH characteristics, and the Area Resource File were analyzed. Results show that overall PCMH capacity is associated with fewer emergency department visits for patients with depression, and interpersonal aspects of the PCMH in particular, were associated with fewer emergency department visits while technical capabilities were not. Interpersonal activities that facilitate care coordination, patient engagement, and connect patients with community resources might be more effective in keeping patients out of the emergency department for unnecessary reasons as compared to technical activities focused on reporting and information management.
- Subjects
MENTAL depression; HEALTH services accessibility; HOSPITAL admission &; discharge; HOSPITAL emergency services; MEDICAL needs assessment; MULTIVARIATE analysis; PATIENTS; PHYSICIAN-patient relations; GENERAL practitioners; PRIMARY health care; STATISTICS; PATIENT participation; PATIENT-centered care
- Publication
Health Services Management Research, 2019, Vol 32, Issue 1, p26
- ISSN
0951-4848
- Publication type
Article
- DOI
10.1177/0951484818794340