Inclusion of persons with mental illness in patientcentred medical homes: Cross-sectional findings from Ontario, Canada

Open Medicine

Volumn 7, Issue 1, 2013, Pages 1-12

  Steele, Leah S ^a   Durbin, Anna ^b   Sibley, Lyn M ^b   Glazier, Richard H ^c  

^a INSTITUTE FOR CLINICAL EVALUATIVE SCIENCES   (Canada)

^b UNIVERSITY OF TORONTO   (Canada)

^c ST MICHAEL'S HOSPITAL   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; AGED; CANADA; CAPITATION FEE; CONFIDENCE INTERVAL; CROSS-SECTIONAL STUDY; ECONOMICS; EPIDEMIOLOGY; FEMALE; HUMAN; MALE; MEDICAL FEE; MENTAL PATIENT; MIDDLE AGED; PATIENT CARE; REIMBURSEMENT; RISK; SEX RATIO; UTILIZATION; YOUNG ADULT;

ADOLESCENT; ADULT; AGED; CAPITATION FEE; CONFIDENCE INTERVALS; CROSS-SECTIONAL STUDIES; FEE-FOR-SERVICE PLANS; FEMALE; HUMANS; INSURANCE, HEALTH, REIMBURSEMENT; MALE; MENTALLY ILL PERSONS; MIDDLE AGED; ODDS RATIO; ONTARIO; PATIENT-CENTERED CARE; SEX DISTRIBUTION; YOUNG ADULT;

EID: 84885123541     PISSN: None     EISSN: 19112092     Source Type: Journal    
DOI: None     Document Type: Article

References (52)

1. Rosenthal TC. The medical home: growing evidence to support a new approach to primary care. J Am Board Fam Med 2008;21(5):427-440.
2. Glazier RH, Redelmeier DA. Building the patient-centered medical home in Ontario. JAMA 2010;303(21):2186-2187.
3. Cwikel J, Zilber N, Feinson M, Lerner Y. Prevalence and risk factors of threshold and sub-threshold psychiatric disorders in primary care. Soc Psychiatry Psychiatr Epidemiol 2008;43(3):184-191.
4. Wang PS, Lane M, Olfson M, Pincus HA, Wells KB, Kessler RC. Twelvemonth use of mental health services in the United States: results from the National Comorbidity Survey Replication. Arch Gen Psychiatry 2005;62(6):629-640.
5. Hinshaw SP, Cicchetti D. Stigma and mental disorder: conceptions of illness, public attitudes, personal disclosure, and social policy. Dev Psychopathol 2000;12(4):555-598.
6. Lin E, Goering P, Offord DR, Campbell D, Boyle MH. The use of mental health services in Ontario: epidemiologic findings. Can J Psychiatry 1996;41(9):572-577.
7. Vasiliadis HM, Lesage A, Adair C, Wang PS, Kessler RC. Do Canada and the United States differ in prevalence of depression and utilization of services? Psychiatr Serv 2007;58(1):63-71.
8. Lesage AD, Goering P, Lin E. Family physicians and the mental health system. Report from the Mental Health Supplement to the Ontario Health Survey. Can Fam Physician 1997;43:251-256.
9. Phelan M, Stradins L, Morrison S. Physical health of people with severe mental illness. BMJ 2001;322(7284):443-444.
10. Bebbington PE, Meltzer H, Brugha TS, Farrell M, Jenkins R, Ceresa C, et al. Unequal access and unmet need: neurotic disorders and the use of primary care services. Psychol Med 2000;30(6):1359-1367.
11. Bradford DW, Kim MM, Braxton LE, Marx CE, Butterfield M, Elbogen EB. Access to medical care among persons with psychotic and major affective disorders. Psychiatr Serv 2008;59(8):847-852.
12. Legislative Assembly of Ontario, Select Committee on Mental Health and Addictions. Final report. Navigating the journey to wellness: the comprehensive mental health and addictions action plan for Ontarians. 2nd session, 39th parliament, 59 Elizabeth II. Toronto (ON): Legislative Assembly of Ontario; 2010. Available from: www.ontla.on.ca/committee-proceedings/committee-reports/files_pdf/Select%20Report%20ENG.pdf (accessed 2013 Jan. 22).
13. Kirby MJL, chair; Keon WJ, deputy chair. Out of the shadows at last: transforming mental health, mental illness and addiction services in Canada. 39th parliament, 1st session. Ottawa (ON): Senate of Canada, Standing Senate Committee on Social Affairs, Science and Technology; 2006. Available from: www.parl.gc.ca/Content/SEN/Committee/391/SOCI/rep/rep02may06-e.htm (accessed 2013 Jan. 22).
14. Ontario's Community Health Centres. Toronto (ON): Association of Ontario Health Centres. Available from: www.ontariochc.ca/index. php?ci_id=2341&la_id=1 (accessed 2012 Aug. 1).
15. Kralj B, Kantarevic J. Primary care in Ontario: reforms, investments and achievements. Ont Med Rev 2012 Feb: 18-24. Available from: https://www.oma.org/Resources/Documents/PrimaryCareFeature. pdf (accessed 2013 Jan. 17).
16. Glazier RH, Klein-Geltink J, Kopp A, Sibley LM. Capitation and enhanced fee-for-service models for primary care reform: a population- based evaluation. CMAJ 2009;180(11):72-81.
17. Guide to interdisciplinary provider compensation. Version 3.2. Toronto (ON): Ministry of Health and Long-Term Care; updated 2010. Available from: www.health.gov.on.ca/en/pro/programs/fht/docs/fht_inter_provider.pdf (accessed 2013 Jan. 22).
18. Hutchison B. A long time coming: primary healthcare renewal in Canada. Healthc Pap 2008;8(2):10-24.
19. Family Health Teams. Advancing primary care. Guide to patient enrolment. Toronto (ON): Ministry of Health and Long-Term Care; 2005. Available from: www.health.gov.on.ca/en/pro/programs/fht/docs/fht_enrolment.pdf (accessed 2013 Jan. 22).
20. Billing and payment information for Family Health Network (FHN) signatory physicians [fact sheet]. Toronto (ON): Ministry of Health and Long-Term Care, Primary Health Care Team; 2006. Available from: www.anl.com/MOHGUIDE/09%20Billing%20and%20Payment%20Information%20for%20Family%20Health%20Network%20(FHN)%20Signatory%20Physicians%20-%20October%202006.pdf (accessed 2013 Jan. 22).
21. LeffHS, Wieman DA, McFarland BH, Morrissey JP, Rothbard A, Shern DL, et al. Assessment of Medicaid managed behavioral health care for persons with serious mental illness. Psychiatr Serv 2005;56(10):1245-1253.
22. Goldberg RJ. Financial incentives influencing the integration of mental health care and primary care. Psychiatr Serv 1999;50(8):1071-1075.
23. Aggarwal M. Primary care reform: a case study of Ontario [dissertation]. Toronto (ON): University of Toronto; 2009.
24. Steele LS, Glazier RH, Lin E, Evans M. Using administrative data to measure ambulatory mental health service provision in primary care. Med Care 2004;42(10):960-965.
25. Steele LS. Chapter 2: Measuring ambulatory mental health services using administrative data. In: Ambulatory mental health service use in an inner city setting: measurement, patterns and trends [dissertation]. Toronto (ON): University of Toronto; 2003. p. 25-77.
26. Ray JG, Vermeulen MJ, Schull MJ, Singh G, Shah R, Redelmeier DA. Results of the Recent Immigrant Pregnancy and Perinatal Longterm Evaluation Study (RIPPLES). CMAJ 2007;176(10):1419-1426.
27. Kralj B. Measuring 'rurality' for purposes of health care planning: an empirical measure for Ontario. Ont Med Rev 2000;67(9):33-52.
28. Johns Hopkins ACG case mix system: version 6.0 release notes. Baltimore (MD): Johns Hopkins University; 2003.
29. Johns Hopkins adjusted clinical groups (ACG) system. Baltimore (MD): Johns Hopkins University; 2008. Available from: www.acg.jhsph.edu/(accessed 2009 Jul. 21).
30. Huntley AL, Johnson R, Purdy S, Valderas JM, Salisbury C. Measures of multimorbidity and morbidity burden for use in primary care and community settings: a systematic review and guide. Ann Fam Med 2012;10(2):134-141.
31. Hux JE, Ivis F, Flintoft V, Bica A. Diabetes in Ontario: determination of prevalence and incidence using a validated administrative data algorithm. Diabetes Care 2002;25(3):512-516.
32. Barros AJD, Hirakata VN. Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Med Res Methodol 2003;3:21.
33. Frome EL, Checkoway H. Epidemiologic programs for computers and calculators. Use of Poisson regression models in estimating incidence rates and ratios. Am J Epidemiol 1985;121(2):309-323.
34. Gosden T, Forland F, Kristiansen IS, Sutton M, Leese B, Giuffrida A, et al. Impact of payment method on behaviour of primary care physicians: a systematic review. J Health Serv Res Policy 2001;6(1):44-55.
35. Pauly MV, Kissick WL, Roper LE, editors. Lessons from the first twenty years of Medicare: research implications for public and private sector policy. Philadelphia (PA): University of Pennsylvania Press; 1988.
36. Gold M. Financial incentives: current realities and challenges for physicians. J Gen Intern Med 1999;14 Suppl 1:S6-S12.
37. McAlpine DD, Mechanic D. Utilization of specialty mental health care among persons with severe mental illness: the roles of demographics, need, insurance, and risk. Health Serv Res 2000;35(1 Pt 2):277-292.
38. Samele C, Patel M, Boydell J, Leese M, Wessely S, Murray R. Physical illness and lifestyle risk factors in people with their first presentation of psychosis. Soc Psychiatry Psychiatr Epidemiol 2007;42(2):117-124.
39. Rothbard AB, Kuno E, Hadley TR, Dogin J. Psychiatric service utilization and cost for persons with schizophrenia in a Medicaid managed care program. J Behav Health Serv Res 2004;31(1):1-12.
40. Sekhri NK. Managed care: the US experience. Bull World Health Organ 2000;78(6):830-844.
41. McFarland BH, Johnson RE, Hornbrook MC. Enrollment duration, service use, and costs of care for severely mentally ill members of a health maintenance organization. Arch Gen Psychiatry 1996;53(10):938-944.
42. Gresenz CR, Sturm R. Who leaves managed behavioral health care? J Behav Health Serv Res 1999;26(4):390-399.
43. Physicians and the Ontario human rights code. Policy 5-08. Toronto (ON): College of Physicians and Surgeons of Ontario; 2008. Avail able from: www.cpso.on.ca/policies/policies/default.aspx?ID=2102 (accessed 2013 Jan. 22).
44. Druss BG, Rosenheck RA, Desai MM, Perlin JB. Quality of preventive medical care for patients with mental disorders. Med Care 2002;40(2):129-136.
45. Carney CP, Jones LE. The influence of type and severity of mental illness on receipt of screening mammography. J Gen Intern Med 2006;21(10):1097-1104.
46. Pirraglia PA, Sanyal P, Singer DE, Ferris TG. Depressive symptom burden as a barrier to screening for breast and cervical cancers. J Womens Health (Larchmt) 2004;13(6):731-738.
47. Vigod SN, Kurdyak PA, Stewart DE, Gnam WH, Goering PN. Depressive symptoms as a determinant of breast and cervical cancer screening in women: a population-based study in Ontario, Canada. Arch Womens Ment Health 2011;14(2):159-168.
48. Chou AF, Wallace N, Bloom JR, Hu TW. Variation in outpatient mental health service utilization under capitation. J Ment Health Policy Econ 2005;8(1):3-14.
49. Häfner H, an der Heiden W. Epidemiology of schizophrenia. Can J Psychiatry 1997;42(2):139-151.
50. Bulloch AG, Currie S, Guyn L, Williams JV, Lavorato DH, Patten SB. Estimates of the treated prevalence of bipolar disorders by mental health services in the general population: comparison of results from administrative and health survey data. Chronic Dis Inj Can 2011;31(3):129-134.
51. Glazier RH, Zagorski BM, Rayner J. Comparison of primary care models in Ontario by demographics, case mix and emergency department use, 2008/09 to 2009/10. Toronto (ON): Institute for Clinical Evaluative Sciences; 2012. Available from: www.ices.on.ca/file/ICES_Primary%20Care%20Models%20English.pdf (accessed 2013 Jan 17).
52. Rosser WW, Colwill JM, Kasperski J, Wilson L. Patient-centered medical homes in Ontario. N Engl J Med 2010;362(3):e7.