Waters Heidi C, Furukawa Michael F, Jorissen Shari L
College of Health Sciences, Walden University, Minneapolis, MN, USA.
, 1375 Bayport Ave, Marco Island, FL, 34145, USA.
Community Ment Health J. 2018 Nov;54(8):1101-1108. doi: 10.1007/s10597-018-0297-x. Epub 2018 Jun 14.
Serious mental illness (SMI) affects 5% of the United States population and is associated with increased morbidity and mortality, and use of high-cost healthcare services including hospitalizations and emergency department visits. Integrating behavioral and physical healthcare may improve care for consumers with SMI, but prior research findings have been mixed. This quantitative retrospective cohort study assessed whether there was a predictive relationship between integrated healthcare clinic enrollment and inpatient and emergency department utilization for consumers with SMI when controlling for demographic characteristics and disease severity. While findings indicated no statistically significant impact of integrated care clinic enrollment on utilization, the sample had lower levels of utilization than would have been expected. Since policy and payment structures continue to support integrated care models, further research on different programs are encouraged, as each setting and practice pattern is unique.
严重精神疾病（SMI）影响着5%的美国人口，与发病率和死亡率上升以及包括住院治疗和急诊就诊在内的高成本医疗服务的使用有关。整合行为健康和身体保健可能会改善对患有严重精神疾病患者的护理，但先前的研究结果并不一致。这项定量回顾性队列研究评估了在控制人口统计学特征和疾病严重程度的情况下，综合医疗诊所登记与患有严重精神疾病患者的住院和急诊利用之间是否存在预测关系。虽然研究结果表明综合护理诊所登记对利用率没有统计学上的显著影响，但样本的利用率水平低于预期。由于政策和支付结构继续支持综合护理模式，鼓励对不同项目进行进一步研究，因为每个环境和实践模式都是独特的。
