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01-10-2020 | Schizophrenia | Original Paper

The Effects of an Enhanced Primary Care Model for Patients with Serious Mental Illness on Emergency Department Utilization

Authors: Connor Belson, Brian Sheitman, Beat Steiner

Published in: Community Mental Health Journal | Issue 7/2020

Abstract

Patients with Serious Mental Illness (SMI) have high rates of emergency department visits and high premature mortality rates, often due to poor primary care. A model of enhanced primary care services integrated in a behavioral health location is being implemented and studied at the UNC WakeBrook Primary Care Center (UNCWPC). This research was conducted as a retrospective cohort study. ED Visit Utilization before and after establishing care at UNCWPC were calculated for a cohort and a subset of patients. There was a decrease in ED utilization after years 3–4 of enrollment for physical health complaints for the overall cohort (n = 101), from 3.23 to 1.83 visits/person/year, and for patients with multiple physical comorbidities (n = 50), from 4.04 to 2.48 visits/person/year. This study indicated that an enhanced model of primary care can help decrease ED utilization for primary care conditions. The decline was not seen until the patients were well-established.

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Title: The Effects of an Enhanced Primary Care Model for Patients with Serious Mental Illness on Emergency Department Utilization
Authors: Connor Belson
Brian Sheitman
Beat Steiner
Publication date: 01-10-2020
Publisher: Springer US
Keywords: Schizophrenia
Care
Published in: Community Mental Health Journal / Issue 7/2020
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-020-00645-0

At a glance: The STEP trials

Springer Medicine

The Effects of an Enhanced Primary Care Model for Patients with Serious Mental Illness on Emergency Department Utilization

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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