دورية أكاديمية
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Provision of Behavioral Health Services at Community Health Centers and Hospital Emergency Department Visits.

التفاصيل البيبلوغرافية
العنوان: Provision of Behavioral Health Services at Community Health Centers and Hospital Emergency Department Visits.
المؤلفون: Carey K; Department of Health Law, Policy, and Management, Boston University School of Public Health, Boston MA., Cole MB
المصدر: Medical care [Med Care] 2024 Aug 01; Vol. 62 (8), pp. 538-542. Date of Electronic Publication: 2024 Jun 11.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 0230027 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1537-1948 (Electronic) Linking ISSN: 00257079 NLM ISO Abbreviation: Med Care Subsets: MEDLINE
أسماء مطبوعة: Publication: Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Philadelphia, etc., Lippincott.
مواضيع طبية MeSH: Emergency Service, Hospital*/statistics & numerical data , Community Health Centers*/statistics & numerical data , Community Health Centers*/organization & administration , Substance-Related Disorders*/therapy, Humans ; New York ; Mental Health Services/statistics & numerical data ; Male ; Female ; Emergency Room Visits
مستخلص: Background: Numerous US patients seek the hospital emergency department (ED) for behavioral health care. Community Health Centers (CHCs) offer a potential channel for redirecting many to a more patient-centered, lower cost setting.
Objective: The aim of this study was to identify unique market areas serviced by CHCs and to examine whether CHCs are effective in offsetting behavioral health ED visits.
Research Design: We identified CHC-year specific service areas using patient origin zip codes. We then estimated random effects models applied to 42 federally qualified CHCs operating in New York State during 2013-2020. The dependent variables were numbers of ED mental health (substance use disorder) visits per capita in a CHC's service area, drawn from HCUP State Emergency Department Databases. Key explanatory variables measured CHC number of mental health (substance use disorder) visits, number of unique mental health (substance use disorder) patients, and mental health (substance use disorder) intensity, obtained from the HRSA Uniform Data System.
Results: Controlling for population, we observed small negative effects of CHC behavioral health integration in explaining ED behavioral health utilization. Measures of mental health utilization in CHCs were associated with 1.3%-9.3% fewer mental health emergency department visits per capita in Community Health Centers' service areas. Measures of substance use disorder utilization in Community Health Centers were associated with 1.3%-3.0% fewer emergency department visits per capita.
Conclusion: Results suggest that behavioral health integration in CHCs may reduce reliance on hospital EDs, but that policymakers explore more avenues for regional coordination strategies that align services between CHCs and local hospitals.
Competing Interests: The authors declare no conflict of interest.
(Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
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تواريخ الأحداث: Date Created: 20240618 Date Completed: 20240705 Latest Revision: 20240705
رمز التحديث: 20240705
DOI: 10.1097/MLR.0000000000002022
PMID: 38889202
قاعدة البيانات: MEDLINE
الوصف
تدمد:1537-1948
DOI:10.1097/MLR.0000000000002022