Impact of a Mental Health Based Primary Care Program on Quality of Physical Health Care
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We examine the impact of mental health based primary care on physical health treatment among community mental health center patients in New York State using propensity score adjusted difference in difference models. Outcomes are quality indicators related to outpatient medical visits, diabetes HbA1c monitoring, and metabolic monitoring of antipsychotic treatment. Results suggest the program improved metabolic monitoring for patients on antipsychotics in one of two waves, but did not impact other quality indicators. Ceiling effects may have limited program impacts. More structured clinical programs to may be required to achieve improvements in quality of physical health care for this population.
KeywordsSerious mental illness Integrated care Quality of care Primary care
This research was supported by a grant from the National Institute of Mental Health (R01MH102379).
Compliance with Ethical Standards
Conflict of interest
The authors have no conflicts of interest to report.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Study procedures were approved by the IRBs of the RAND Corporation and the New York State Office of Mental Health.
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