General Medical Outcomes From the Primary and Behavioral Health Care Integration Grant Program
General Medical Outcomes From the Primary and Behavioral Health Care Integration Grant Program
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DOI：
10.1176/appi.ps.201500352
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发表时间：
2016-11-01
影响因子：
3.8
通讯作者：
Burnam, M. Audrey
中科院分区：
文献类型：
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作者：
Scharf, Deborah M.;Hackbarth, Nicole Schmidt;Burnam, M. Audrey
目的：初级和行为保健一体化赠款旨在通过将初级和预防性一般医疗服务纳入行为健康环境，改善严重精神疾病患者的健康。本报告描述了2009年或2010年资助的早期项目队列所服务的人的一般医疗结果，这些项目参与了这个国家示范项目。一个准实验性的，采用差异中差异设计，比较三家PBHCI诊所（N=322）和三家被选为匹配对照点的诊所（N=469）的消费者的一般医疗健康变化.倾向评分加权用于调整PBHCI和对照诊所人群之间的基线差异。在2010年至2012年期间收集了基线数据;大约一年后收集了随访数据。一般医疗结果包括血压;体重指数;胆固醇、甘油三酯和血糖或HbA 1c水平;和自我报告的吸烟情况。结果：与对照诊所的消费者相比，PBHCI消费者的胆固醇结果更好：总胆固醇平均降低36 mg/dL（p
Objective: Primary and Behavioral Health Care Integration (PBHCI) grants aim to improve the health of people with serious mental illness by integrating primary and preventive general medical services into behavioral health settings. This report describes the general medical outcomes of persons served by early cohorts of programs, funded in 2009 or 2010, that participated in this national demonstration project.Methods: A quasi-experimental, difference-in-differences design was used to compare changes in general medical health among consumers served at three PBHCI clinics (N=322) and three clinics that were selected as matched control sites (N=469). Propensity-score weighting was used to adjust for baseline differences between PBHCI and control clinic populations. Baseline data were collected between 2010 and 2012; follow-up data were collected approximately one year later. General medical outcomes included blood pressure; body mass index; cholesterol, triglyceride, and blood glucose or HbA1c levels; and self-reported tobacco smoking.Results: Compared with consumers served at control clinics, PBHCI consumers had better outcomes for cholesterol: mean reductions in total cholesterol were greater by 36 mg/dL (p