Evaluation of a Health Information Exchange for Linkage to Mental Health Care After an Emergency Department Visit.
Evaluation of a Health Information Exchange for Linkage to Mental Health Care After an Emergency Department Visit.
复制标题
急诊科就诊后健康信息交换与精神卫生保健联系的评估。
DOI：
10.1176/appi.ps.20220231
复制
发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Sabbatini,AmberK
中科院分区：
文献类型：
--
作者：
Parrish,Canada;Basu,Anirban;McConnell,KJohn;Frogner,BiancaK;Reddy,Ashok;Zatzick,DouglasF;Kreuter,William;Sabbatini,AmberK
华盛顿州的目标是减少不必要的急诊科 (ED) 使用并改善与门诊初级和行为保健的联系，本研究评估了急诊科信息交换 (EDIE) 是否改善了与患有精神健康问题的医疗补助参与者的护理联系。 30 天时对任何医生的随访略有增加，但随着时间的推移，针对心理健康的随访有所下降。双重差分估计显示 EDIE 对急诊就诊后与护理的联系没有影响。有心理健康需求且急诊室利用率高的医疗补助受益人可能需要额外的支持，以增加及时和适当的后续护理。
Aligning with Washington State’s goal of reducing unnecessary emergency department (ED) use and improving linkage to outpatient primary and behavioral health care, this study evaluated whether an Emergency Department Information Exchange (EDIE) improved linkage to care for Medicaid enrollees with mental health conditions. Follow-up with any physician at 30 days increased slightly, although mental health–specific follow-up declined over time. Difference-in-differences estimates revealed no effect of EDIE on linkage to care after an ED visit. Medicaid beneficiaries with mental health needs and high utilization of the ED likely require additional support to increase timely and appropriate follow-up care.