Sharing a Playbook: Integrated Care in Community Health Centers in the United States

Jones, Emily; Ku, Leighton

doi:10.2105/ajph.2015.302710

Cited by 19 publications

(14 citation statements)

References 57 publications

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“…Overall, eight studies identified barriers to coordinated care 18 – 25 ( Table 1 ), and 13 studies 9 , 12 , 16 , 26 – 35 ( Table 2 ) did not specifically mention challenges facing care coordination, five of which 9 , 12 , 18 , 34 , 35 were specifically designed to compare the collaborative care model to CAU ( Table 2 ). Mental health illnesses addressed in the reviewed articles included dementia (n=2), 18 , 27 suicide (n=1), 28 substance abuse (n=4), 22 , 24 , 28 , 31 posttraumatic stress disorder (PTSD; n=2), 32 , 33 schizophrenia (n=1), 32 anxiety (n=1), 35 and depression, the most prevalent mental health condition assessed for collaborative care (n=9). 9 , 12 , 18 , 20 , 26 – 28 , 34 , 35…”

Section: Resultsmentioning

confidence: 99%

“…A variety of health care centers were used to assist collaborative care efforts. The majority of care coordination took place within primary care centers (n=8),9,19,22,25,28,31,34,35 followed by community health centers (n=4), 19 , 21 , 22 , 31 the veterans integrated health care system (n=5), 12 , 26 , 30 , 32 , 33 the correctional health system, 29 and independent living facilities. 27 Seven studies examined coordinated care in rural areas.…”

Section: Resultsmentioning

confidence: 99%

“… 27 Seven studies examined coordinated care in rural areas. 9 , 12 , 22 , 24 , 26 , 31 , 32 One study 16 did not specify a care coordination setting.…”

Section: Resultsmentioning

confidence: 99%

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Use of technology for care coordination initiatives for patients with mental health issues: a systematic literature review

Falconer¹,

Kho²,

Docherty³

2018

NDT

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This systematic literature review investigates the use of technology for the coordination and management of mental health care with an emphasis on outcomes. Searches of MEDLINE/PubMed, Scopus, and EMBASE were conducted between January 1, 2003, and January 4, 2018, to identify articles that assessed patient outcomes associated with care coordination, evaluated technology to improve care, or discussed management of mental health care using technology. A total of 21 articles were included in a qualitative review based on the recommendations set forth by the PRISMA statement. Among the various health technologies, electronic health records were most commonly used for care coordination, with primary care being the most frequent setting. Care coordination was shown to provide easier patient access to health care providers and to improve communication between caregiver and patient, especially in cases where geographic location or distance is a challenge. Barriers to coordinated care included, but were not limited to, insufficient funding for health information technology, deficient reimbursement plans, limited access to technologies, cultural barriers, and underperforming electronic health record templates. In conclusion, many studies showed the benefit of coordinated and collaborative care through the use of technology; however, further research and development efforts are needed to continue technological innovation for advanced patient care.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Use of technology for care coordination initiatives for patients with mental health issues: a systematic literature review

Falconer¹,

Kho²,

Docherty³

2018

NDT

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“…Future research should explore the barriers to on‐site provision of substance use disorder services in health centers such as the patient cap for DEA‐waivered prescribers, with a focus on barriers in rural areas . The integration of behavioral health and medical services should be a focus area for future research, since integrated services are more likely to address patient needs in a comprehensive and high‐quality way . One previous study highlights the link between buprenorphine maintenance and increased access to preventive care, which should be further explored .…”

Section: Discussionmentioning

confidence: 99%

“…10,47 The integration of behavioral health and medical services should be a focus area for future research, since integrated services are more likely to address patient needs in a comprehensive and high-quality way. 48 One previous study highlights the link between buprenorphine maintenance and increased access to preventive care, which should be further explored. 49 Future research should also further explore community partnerships 50 and primary care as an effective distribution hub for naloxone, which is an antidote that can reverse opioid overdoses if administered in time.…”

Section: Discussionmentioning

confidence: 99%

Medication‐Assisted Opioid Treatment Prescribers in Federally Qualified Health Centers: Capacity Lags in Rural Areas

Jones

2017

The Journal of Rural Health

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Purpose This study explores correlates of on‐site availability of substance use disorder treatment services in federally qualified health centers, including buprenorphine treatment that is critical to addressing the opioid epidemic. Methods We employed descriptive and multivariable analyses with weighted 2010 Assessment of Behavioral Health Services survey data and the 2010 Uniform Data System. Findings In 2010, 47.6% of health centers provided on‐site substance use disorder treatment, 12.3% provided buprenorphine treatment for opioids, and 38.8% were interested in expanding buprenorphine availability. Urban health centers, those in the West, and health centers with electronic health records had higher odds of offering on‐site substance use disorder treatment. Compared with on‐site mental health treatment, substance use disorder treatment was available in fewer clinic sites within each organization. Health centers in rural areas had lower odds of providing on‐site buprenorphine treatment (OR = 0.49, 95% CI: 0.26‐0.94), and those in the South had lower odds of providing on‐site buprenorphine treatment compared with health centers in other regions. Rural health centers had lower odds of expressing interest in expanding the availability of buprenorphine treatment (OR = 0.58, 95% CI: 0.35‐0.97). Conclusions Improving access to substance use disorder treatment in primary care is a critical part of the strategy to combat the opioid use disorder epidemic. These findings highlight the important role of health centers as portals of access to substance use disorder treatment services in underserved communities. Recent investments to expand treatment capacity in health centers will expand the availability of substance use disorder services, but urban/rural and regional disparities should be monitored.

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Are Certain Health Centers Better Patient-Centered Medical Homes for People with Severe Mental Illness?

et al. 2020

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Sharing a Playbook: Integrated Care in Community Health Centers in the United States

Cited by 19 publications

References 57 publications

Use of technology for care coordination initiatives for patients with mental health issues: a systematic literature review

Use of technology for care coordination initiatives for patients with mental health issues: a systematic literature review

Medication‐Assisted Opioid Treatment Prescribers in Federally Qualified Health Centers: Capacity Lags in Rural Areas

Are Certain Health Centers Better Patient-Centered Medical Homes for People with Severe Mental Illness?

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