Managed care organizational complexity and access to high-quality mental health services: Perspective of U.S. primary care physicians

General Hospital Psychiatry

Volumn 25, Issue 3, 2003, Pages 149-157

  Van Voorhees, Benjamin W ^a   Wang, Nae Yuh ^a   Ford, Daniel E ^a  

^a JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Managed care; Mental health care services; Primary care; Psychiatric referrals; Quality of care

Indexed keywords

ADULT; ARTICLE; CONFIDENCE INTERVAL; CONTROLLED STUDY; FEMALE; HEALTH CARE ACCESS; HEALTH CARE QUALITY; HEALTH SURVEY; HUMAN; MALE; MANAGED CARE ORGANIZATION; MEDICAL PRACTICE; MEDICAL SERVICE; MEDICAL SPECIALIST; MENTAL HEALTH SERVICE; OUTPATIENT CARE; PATIENT REFERRAL; PHYSICIAN; PRIMARY MEDICAL CARE; UNITED STATES;

EID: 0038365058     PISSN: 01638343     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0163-8343(03)00017-3     Document Type: Article

References (43)

1. Foote S.M., Jones S.B. Consumer-choice markets lessons from FEHBP mental health coverage . Health Aff (Millwood). 18:1999;125-130.
2. Findlay S. Managed behavioral health care in 1999 an industry at a crossroads . Health Aff (Millwood). 18:1999;116-124.
3. Norquist G.S., Wells K.B. How do HMOs reduce outpatient mental health care costs? Am J Psychiatry. 148:1991;96-101.
4. Heflinger C.A., Northrup D.A. What happens when capitated behavioral health comes to town? The transition from the Fort Bragg demonstration to a capitated managed behavioral health contract. J Behav Health Serv Res. 27:2000;390-405.
5. Burns B.J., Teagle S.E., Schwartz M., Angold A., Holtzman A. Managed behavioral health care a Medicaid carve-out for youth . Health Aff (Millwood). 18:1999;214-225.
6. Counihan C.W., Nelson D., Pattullo E.A. Medicaid mental health carveout program the Massachusetts experience . Managed Care Q. 4:1996;85-92.
7. Ridgely M.S., Giard J., Shern D. Florida's Medicaid mental health carve-out lessons from the first years of implementation . J Behav Health Serv Res. 26:1999;400-415.
8. Fox H.B., Wicks L.B., Newacheck P.W. Health maintenance organizations and children with special health needs a suitable match? Am J Dis Child. 147:1993;546-552.
9. Stroul B.A., Pires S.A., Armstrong M.I., Meyers J.C. The impact of managed care on mental health services for children and their families. Future Child. 8:1998;119-133.
10. Weissman E., Pettigrew K., Sotsky S., Regier D.A. The cost of access to mental health services in managed care. Psychiatr Serv. 51:2000;664-666.
11. Beinecke R.H., Lockhart A. A provider assessment of the Massachusetts Medicaid Managed Behavioral Health Program year four . Adm Policy Ment Health. 25:1998;411-426.
12. Pandiani J.A., Banks S.M., Gauvin L. A global measure of access to mental health services for a managed care environment. J Ment Health Adm. 24:1997;268-277.
13. Aday L.A., Begley C.E., Lairson D.R., Slater C.H., Richard A.J., Montoya I.D. A framework for assessing the effectiveness, efficiency, and equity of behavioral healthcare. Am J Managed Care. 5:(Spec. No.):1999;SP25-44.
14. Regier D.A., Narrow W.E., Rae D.S., Manderscheid R.W., Locke B.Z., Goodwin F.K. The de facto US mental and addictive disorders service system epidemiologic catchment area prospective 1-year prevalence rates of disorders and services . Arch Gen Psychiatry. 50:1993;85-94.
15. Orleans C.T., George L.K., Houpt J.L., Brodie H.K. How primary care physicians treat psychiatric disorders a national survey of family practitioners . Am J Psychiatry. 142:1985;52-57.
16. Reschovsky J., Reed M., Blumenthal D., Landon B. Physicians' assessments of their ability to provide high-quality care in a changing health care system. Med Care. 39:2001;254-269.
17. Grembowski D.E., Martin D., Patrick D.L., et al. Managed care, access to mental health specialists, and outcomes among primary care patients with depressive symptoms. J Gen Intern Med. 17:2002;258-269.
18. Patrick D.L., Eagle J., Coleman J.V. Primary care treatment of emotional problems in an HMO. Med Care. 16:1978;47-60.
19. Lambert D., Hartley D. Linking primary care and rural psychiatry where have we been and where are we going? Psychiatr Serv. 49:1998;965-967.
20. Landon B.E., Reschovsky J., Reed M., Blumenthal D. Personal, organizational, and market level influences on physicians' practice patterns results of a national survey of primary care physicians. Med Care. 39:2001;889-905.
21. Edson D., Pinkston K., Singer E., Trude S., Moore G. The Community Tracking Study Physician Survey Summary File: Codebook and User's Guide (Round 1, Release 1). 1999;Center for Studying Health System Change, Washington, DC.
22. Community Tracking Study Physicians' Survey 1996-1997: (United States) User's Guide for the Restricted Use Version of the Main Data File: Center for Studying Health System Change and Inter-university Consortium for Political and Social Research. 1997. Accessed 10 January 2001.
23. Keil L., Potter F., Reed M. Community Tracking Study Physician Survey (Round 1) Survey Methodology Report. 1998;Center for Studying Health System Change, Washington, DC.
24. Metcalf C., Kemper P., Kohn L., Pickreign J. Site Definition and Sample Design for the Community Tracking Study. 1998;Center for Studying Health System Change, Washington, DC.
25. St Peter R.F., Reed M.C., Kemper P., Blumenthal D. Changes in the scope of care provided by primary care physicians. N Engl J Med. 341:1999;1980-1985.
26. Sturm R. How expensive is unlimited mental health care coverage under managed care? JAMA. 278:1997;1533-1537.
27. STATA 7 User's Guide. Vol Su. College Station, TX: STATA Press; 1985-2000.
28. STATA 7 Users Guide. Vol U. College Station, TX: STATA Press; 1985-2000.
29. Sturm R. Tracking changes in behavioral health services how have carve-outs changed care? J Behav Health Serv Res. 26:1999;360-371.
30. Stata Statistical Software [computer program]. Version Release 7.0. College Station, TX: Stata Corp; 2001.
31. STATA 7 User's Guide. Vol RME College Station, TX: STATA Press; 1985-2000.
32. Linn L.S., Daniels M. Social and structural factors affecting psychiatric consultation in the ambulatory medical setting. Int J Psychiatry Med. 14:1984;77-86.
33. Link B., Levav I., Cohen A. The primary medical care practitioner's attitudes toward psychiatry an Israeli study . Soc Sci Med. 16:1982;1413-1420.
34. Area Resource File Access System [computer program]. Version. Rockville, MD: Bureau of Health Professions; 2000.
35. Schuchman M, St Peter R. Primary Care Physicians Concerned about Patient's Access to Mental Health Services. Washington DC: Center for Studying Health System Change; 1997. Data Bulletin No. 6.
36. St Peter RF. Access to Specialists and Primary Care Physicians. Washington, DC: Center for Studying Health System Change; 1997. Data Bulletin No. 02.
37. Tollefson G.D., Garvey M., Zander J. Use of psychiatric referral by family physicians. Am Fam Physician. 38:1988;127-132.
38. Young A.S., Klap R., Sherbourne C.D., Wells K.B. The quality of care for depressive and anxiety disorders in the United States. Arch Gen Psychiatry. 58:2001;55-61.
39. Rosenheck R.A., Druss B., Stolar M., Leslie D., Sledge W. Effect of declining mental health service use on employees of a large corporation. Health Aff (Millwood). 18:1999;193-203.
40. Kessler R.C., Barber C., Birnbaum H.G., et al. Depression in the workplace effects on short-term disability . Health Aff (Millwood). 18:1999;163-171.
41. White J.H. Mental healthcare access, excess, and fragmentation . Health Prog. 72:1991;12-14.
42. Avant R.F. Psychiatric consultation and referral. Med Clin North Am. 72:1988;929-935.
43. Dea R.A. The integration of primary care and behavioral healthcare in northern California Kaiser-Permanente. Psychiatr Q. 71:2000;17-29.