Effects of Hospital-Community-Public Health Integration on Racial and Ethnic Disparities in Mental Health
医院-社区-公共卫生一体化对心理健康中种族和民族差异的影响
基本信息
- 批准号:10021780
- 负责人:
- 金额:$ 8.36万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2017
- 资助国家:美国
- 起止时间:2017-07-12 至 2022-02-28
- 项目状态:已结题
- 来源:
- 关键词:AddressAdoptionAffordable Care ActAfrican AmericanClinicalCommunitiesCommunity HealthCommunity HospitalsDataData SetEthnic groupFocus GroupsGoalsHealthHealth Care ReformHealth Care SectorHealth PersonnelHealth PolicyHealth ResourcesHealth Services ResearchHealth StatusHealth systemHealthcareHealthcare SystemsHospital AdministratorsHospitalizationHospitalsIndividualLatinoLawsLinkMedicalMental HealthMental disordersMentally Ill PersonsMethodsMinorityMissionModelingMorbidity - disease rateOutcomePatient RepresentativePatientsPlant RootsPoliciesPopulationPreventive InterventionProviderPublic HealthPublic HousingResearchResearch PersonnelRoleService delivery modelServicesSocial ValuesSocial WorkSourceSystemTarget PopulationsTimeTransportationUnderserved PopulationVariantWorkbasebehavioral healthcare coordinationcommunity partnershipcostcost effectivedesigndisparity reductionethnic health disparityethnic minority populationexperiencehealth care availabilityhealth care deliveryhealth care settingshealth disparityhospital readmissionimprovedinnovationminority healthmortalitypatient engagementpatient populationphysical conditioningpopulation healthpreferenceprogramsracial and ethnicracial and ethnic disparitiesracial minorityresponsesocial health determinantssocial stigmasociodemographics
项目摘要
Summary
Mental illness is a major public health concern in the U.S. and a significant source of morbidity and mortality.
Racial and ethnic minority patients experience disproportionate burdens of common physical health conditions
associated with mental illness, largely due to the lack of health care access and social stigma. Effectively
treating mental illness and the associated conditions will depend on a comprehensive approach that crosses
health systems and policies, such as the Community Benefit State Laws, to target “Population Health” and
emphasize the value of social determinants of health. However, the current mental health care system works in
a silo, and evidence of care coordination on health disparities is lacking. The goal of this study is to examine
system-level care coordination among hospitals, communities, and public health agencies, and to estimate its
impacts on unmet health care needs in African American and Latino patients with mental illness. The rationale
for the proposed research is that once it is known what specific coordination practices (e.g. medical services,
transportation, public housing) and policies are most successful for different patient populations, integration of
mental and physical health care delivery systems can be designed in a more cost-effective way to overcome
the barriers from stigma and limited health care access. In this project, we will first determine the effects of
Community Benefit State Laws on racial and ethnic disparities in health care access, quality, and costs among
people with mental illness (Aim 1). Within this context, we will further identify the variation of hospital-based
adoption of care coordination practices and its correlation with patient and community level socio-
demographics, local public health resources, and the extent of the implementation of community benefit laws
(Aim 2); and determine the impact of care coordination practices between hospitals, communities, and public
health agencies on racial and ethnic health disparities (Aim 3). We will use mixed methods: (1) we will
construct a multi-level data set by linking multiple nationally representative data sets and use difference-in-
differences approach to estimate the impact of system-level care coordination on different racial/ethnic groups;
and (2) we will investigate challenges to implementing system-level coordination using focus groups of racial
and ethnic minority patient representatives, hospital administrators and providers, and representatives from
public health agencies. The proposed research is significant because (1) identified practices are expected to
provide evidence on how to personalize mental health care coordination for racial and ethnic minority patients
to address heterogeneous preferences in mental health treatment; (2) identified system-level care coordination
practices are expected to be cost-effective, which in turn can make the coordination sustainable for
underserved populations. Our results are expected to break down longstanding silos and bridge the gap
between health care providers, community based organizations, social service agencies, and the public health
sector delivery system, in addition to providing evidence to reduce health disparities through care coordination.
总结
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Jie Chen的其他文献
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{{ truncateString('Jie Chen', 18)}}的其他基金
The impact of hospital-based health information technology on health care quality and equity among patients with ADRD
基于医院的卫生信息技术对 ADRD 患者医疗保健质量和公平性的影响
- 批准号:
10729695 - 财政年份:2023
- 资助金额:
$ 8.36万 - 项目类别:
Effect of Hospital and Community Care Coordination on Health Care Quality and Equity among Individuals with Risk Factors or Diagnosis of ADRD
医院和社区护理协调对有 ADRD 危险因素或诊断的个体的医疗保健质量和公平性的影响
- 批准号:
10589023 - 财政年份:2021
- 资助金额:
$ 8.36万 - 项目类别:
Effect of Hospital and Community Care Coordination on Health Care Quality and Equity among Individuals with Risk Factors or Diagnosis of ADRD
医院和社区护理协调对有 ADRD 危险因素或诊断的个体的医疗保健质量和公平性的影响
- 批准号:
10353407 - 财政年份:2021
- 资助金额:
$ 8.36万 - 项目类别:
Effect of Hospital and Community Care Coordination on Health Care Access, Quality and Equity among Individuals with Risk Factors or Diagnosis of ADRD
医院和社区护理协调对有 ADRD 危险因素或诊断的个人的医疗保健获取、质量和公平性的影响
- 批准号:
9789164 - 财政年份:2018
- 资助金额:
$ 8.36万 - 项目类别:
Effects of Hospital-Community-Public Health Integration on Racial and Ethnic Disparities in Mental Health
医院-社区-公共卫生一体化对心理健康中种族和民族差异的影响
- 批准号:
9924656 - 财政年份:2017
- 资助金额:
$ 8.36万 - 项目类别:
Effects of Hospital-Community-Public Health Integration on Racial and Ethnic Disparities in Mental Health
医院-社区-公共卫生一体化对心理健康中种族和民族差异的影响
- 批准号:
9329801 - 财政年份:2017
- 资助金额:
$ 8.36万 - 项目类别:
Effect of Local Health Departments on Health Care Disparities for Individuals with Mental Health Disorders
当地卫生部门对精神健康障碍患者医疗保健差异的影响
- 批准号:
9199107 - 财政年份:2016
- 资助金额:
$ 8.36万 - 项目类别:
Effect of Local Health Departments on Health Care Disparities for Individuals with Mental Health Disorders
当地卫生部门对精神健康障碍患者医疗保健差异的影响
- 批准号:
9034884 - 财政年份:2016
- 资助金额:
$ 8.36万 - 项目类别:
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