Reducing Costs of Acute Care for Ambulatory Care-sensitive Medical Conditions The Central Roles of Comorbid Mental Illness
Reducing Costs of Acute Care for Ambulatory Care-sensitive Medical Conditions The Central Roles of Comorbid Mental Illness
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DOI：
10.1097/mlr.0b013e31824e3379
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发表时间：
2012-08-01
期刊：
影响因子：
3
通讯作者：
Rubenstein, Lisa V.
中科院分区：
文献类型：
--
作者：
Yoon, Jean;Yano, Elizabeth M.;Rubenstein, Lisa V.
Background: New patient-centered models of ambulatory care aim to substitute better primary care for preventable acute care within existing primary care practices. This study aims to identify whether mental illness and other characteristics of primary care patients are related to risk for an acute event for an ambulatory care-sensitive condition (ACSC).Methods: We conducted a 2-year, longitudinal analysis comparing ambulatory care-sensitive admissions and emergency department (ED) visits for a cohort of 18,526 primary care patients followed in 5 veterans affairs (VA) primary care sites. We compared rates, risks, and costs of ACSC-related acute events during a follow-up year for patients with and without mental illness seen during the previous year in primary care.Results: The 12-month rate of ACSC admissions was 31.7 admissions per 1000 patients with mental health diagnoses compared with 21.0 admissions per 1000 patients without (P=0.0009). The ACSC-associated ED visit rate was also significantly higher (P
