- Title Information
- Title
- Behavioral Health Integration in Patient-Centered Medical Homes: Effects on Emergency Department Utilization and Total Cost of Care
- Abstract
- US healthcare spending is exorbitant, at 3.5 trillion in 2017, or $10,739 per person per year. However, despite high levels of spending, life expectancy is two years below the OECD average, and the US fails to measure up to peer countries in health outcome measures3. In order to move toward the triple aim of lower costs, improved outcomes, and improved patient experience, the patient-centered medical home (PCMH) movement was created. The core principles of the PCMH are to provide team-based, patient-centered care, improve care coordination and access to care, and support quality improvement and patient safety. Recently, variations on the PCMH model have been expanded to include screening and on-site treatment for behavioral health conditions. An estimated one out of every three individuals in the US suffered from a behavioral health condition in the last year, however these conditions often go undiagnosed and untreated. The integration of behavioral health into primary care has been associated with better patient and clinician satisfaction7 and improved behavioral health outcomes. However the effects of IBH on healthcare utilization are mixed, and there is a lack of studies looking at implementation longitudinally. The purpose of this study was to determine the effects of a two-year facilitated IBH intervention in PCMHs on the rate of emergency department visits and total cost of care.
- Name
- Name Part
- Bliss, Haley; Yeracaris, Pano
- Role
- Role Term (marcrelator)
(authorityURI="http://id.loc.gov/vocabulary/relators", valueURI="http://id.loc.gov/vocabulary/relators/aut")
- Author
- Name:
Corporate
- Name Part
- Brown University. Alpert Medical School. Scholarly Concentration Program. Non-Scholarly Concentrator
- Role
- Role Term:
Text
- research program
- Subject (fast)
(authorityURI="http://id.worldcat.org/fast", valueURI="http://id.worldcat.org/fast/01014505")
- Topic
- Medical policy
- Subject (fast)
(authorityURI="http://id.worldcat.org/fast", valueURI="http://id.worldcat.org/fast/01016498")
- Topic
- Mental health services
- Subject (fast)
(authorityURI="http://id.worldcat.org/fast", valueURI="http://id.worldcat.org/fast/01076319")
- Topic
- Primary care (Medicine)
- Subject (fast)
(authorityURI="http://id.worldcat.org/fast", valueURI="http://id.worldcat.org/fast/00961078")
- Topic
- Hospital utilization
- Subject (fast)
(authorityURI="http://id.worldcat.org/fast", valueURI="http://id.worldcat.org/fast/01430504")
- Topic
- Hospitals--Emergency services--Utilization
- Language
- Language Term:
Text (ISO639-2B)
- English
- Origin Information
- Date Created
(keyDate="yes", encoding="w3cdtf")
- 2019
- Note
(displayLabel="Scholarly concentration")
- Non-Scholarly Concentrator
- Access Condition:
use and reproduction
(href="")
- All rights reserved
- Access Condition:
logo
(href="")
- Type of Resource
- text