Lacking a Primary Care Physician Is Associated With Increased Suffering in Patients With Severe Mental Illness.
*Health Services Accessibility; *Primary Health Care; Adolescence; Adolescent; Adult; Aged; Community; Comorbid conditions; Cost of Illness; Economic Aspects of Illness; Female; Health outcomes; Health Services Accessibility; Hospitalization; Hospitals; Humans; Life Style; Lifestyle problems; Male; Mental Disorders – Complications; Mental Disorders – Psychosocial Factors; Mental Disorders – Therapy; Mental Disorders/complications/*psychology/*therapy; Middle Age; Middle Aged; Preventative services; Primary Health Care; Psychological – Etiology; Psychological – Psychosocial Factors; Psychological/etiology/*psychology; Retrospective Design; Retrospective Studies; Stress; Young Adult
We evaluated the relationship between lack of a primary care physician (PCP) and patients with severe mental illness (SMI), who have poorer health and experience more suffering. Using a blinded retrospective record review of 137 patients with SMI, divided between inpatients (n = 70) and outpatients (n = 67), we compared the two groups to determine if lack of a PCP is associated with increased suffering and worse overall health. We included history of preventive services, having a PCP, and comorbid conditions. Multiple linear regressions determined the relationship between lacking a PCP and lifestyle problems, lack of preventive care, and Burden of Suffering. We found that in SMI patients, lack of a PCP is associated with increased lifestyle problems, lacking preventive care, increased Burden of Suffering and cervical dysplasia. Health policy changes are needed to improve outcomes for patients with SMI by increasing access to PCPs and preventive services.
Olsen Cynthia G; Boltri John M; Amerine Jenna; Clasen Mark E
The journal of primary prevention
2017
2017-12
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1007/s10935-017-0490-7" target="_blank" rel="noreferrer noopener">10.1007/s10935-017-0490-7</a>
A National Survey of Data Currently being Collected by Adult Day Service Centers Across the United States.
health services; policy; adult day care; health outcomes; long-term services and supports
An understanding of adult day service centers' (ADC) impacts on clients' health and well-being has been hampered by a lack of large-scale data. Standardizing data collection is critical to strengthening ADC programs, demonstrating their effectiveness, and enabling them to leverage additional funding streams beyond Medicaid. We distributed an electronic survey on current data collection efforts to ADCs nationally to determine categories of data ADCs are collecting related to clients' health. In our sample (N = 248), only 32% of ADCs collected patient-level data for research and analysis-most commonly on activities of daily living, cognition, nutrition, and caregiver strain. However, validated assessment tools were used in less than 50% of the cases. ADCs are willing to collect data: More than 70% reported a willingness to participate in future studies. National studies piloting data collection protocols with uniform outcome measures are needed to advance the understanding of ADCs' capabilities and impacts.
Sadarangani T; Anderson K; Vora P; Missaelides L; Zagorski W
Journal Of Applied Gerontology
2021
2021-05-14
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
journalArticle
<a href="http://doi.org/10.1177/07334648211013974" target="_blank" rel="noreferrer noopener">10.1177/07334648211013974</a>