Colocated general medical care and preventable hospital admissions for veterans with serious mental illness.
Document Type
Article, Non peer-reviewed
Publication Date
5-2-2011
Abstract
OBJECTIVE: This study examined whether veterans with serious mental illness in mental health settings with colocated general medical care had fewer hospitalizations for ambulatory care-sensitive conditions than veterans in other settings. METHODS: Using 2007 data, the study examined hospitalizations for ambulatory care-sensitive conditions with zero-inflated negative binomial regression controlling for demographic, clinical, and facility characteristics. RESULTS: Of 92,268 veterans with serious mental illness, 9,662 (10.5%) received care at ten sites with colocated care and 82,604 (89.5%) at 98 sites without it. At sites without colocation, 5.1% had a hospitalization for an ambulatory care-sensitive condition, compared with 4.3% at sites with colocation. Attendance at sites with colocated care was associated with an adjusted count of hospitalizations of .76 compared with attendance at sites with no colocation (beta=-.28, 95% confidence interval=.47 to -.09, p=.004). CONCLUSIONS: Colocation of general medical services in the mental health setting was associated with significantly fewer preventable hospitalizations.
Recommended Citation
Pirraglia, Paul A.; Kilbourne, Amy M.; Lai, Zongshan; Friedmann, Peter D.; and O'Toole, Thomas P., "Colocated general medical care and preventable hospital admissions for veterans with serious mental illness." (2011). All Scholarly Works. 8393.
https://scholarlycommons.libraryinfo.bhs.org/all_works/8393
PMID
21532086
