Center for Aging in Diverse Communities, Multiethnic Health Equity Research Center, Division of General Internal Medicine, Department of Medicine, University of California, 1701 Divisadero St. Room 536, San Francisco, CA, USA.
Division of General Internal Medicine, Department of Medicine, San Francisco General Hospital, University of California, San Francisco, CA, USA.
Psychiatr Q. 2021 Jun;92(2):601-607. doi: 10.1007/s11126-020-09829-z.
To assess whether primary care medical homes (PCMHs) are accurately identified for patients receiving care in a specialty mental health clinic within an integrated public delivery system. This study reviewed the electronic records of patients in a large urban mental health clinic. The study defined 'matching PCMH' if the same primary care clinic was listed in both the mental health and medical electronic records. This study designated all others as 'PCMH unknown.' This study assessed whether demographic factors predicted PCMH status using chi-square tests. Among 229 patients (66% male; mean age 49; 36% White, 30% Black, and 17% Asian), 72% had a matching PCMH. Sex, age, race, psychiatric diagnosis, and psychotropic medication use were not associated with matching PCMH. To improve care coordination and health outcomes for people with severe mental illness, greater efforts are needed to ensure the accurate designation of PCMHs in all mental health patient electronic records.
为了评估在综合公共服务系统中，接受专业精神卫生诊所护理的患者是否能被准确识别为初级保健医疗之家（PCMH）。本研究回顾了一家大型城市精神卫生诊所的患者电子记录。研究将“匹配的 PCMH”定义为如果在精神卫生和医疗电子记录中列出了相同的初级保健诊所。本研究将所有其他情况指定为“PCMH 未知”。本研究使用卡方检验评估了人口统计学因素是否能预测 PCMH 状态。在 229 名患者中（66%为男性；平均年龄 49 岁；36%为白人，30%为黑人，17%为亚洲人），72%的患者有匹配的 PCMH。性别、年龄、种族、精神科诊断和精神药物使用与匹配的 PCMH 无关。为了改善严重精神疾病患者的护理协调和健康结果，需要做出更大努力，以确保在所有精神卫生患者的电子记录中准确指定 PCMH。
