scholarly journals The impact of lifetime alcohol use on hepatitis C treatment outcomes in privately insured members of an integrated health care plan

Hepatology ◽  
2012 ◽  
Vol 56 (4) ◽  
pp. 1223-1230 ◽  
Author(s):  
Marcia Russell ◽  
Mary Patricia Pauly ◽  
Charles Denton Moore ◽  
Constance Chia ◽  
Jennifer Dorrell ◽  
...  
Keyword(s):  
Health Care ◽  
Hepatitis C ◽  
Alcohol Use ◽  
Treatment Outcomes ◽  
Integrated Health Care ◽  
Care Plan ◽  
Hepatitis C Treatment ◽  
Health Care Plan ◽  
Integrated Health ◽  
The Impact

scholarly journals The impact of lifetime drug use on hepatitis C treatment outcomes in insured members of an integrated health care plan

2014 ◽  
Vol 134 ◽  
pp. 222-227
Author(s):  
Marcia Russell ◽  
Mary Patricia Pauly ◽  
Charles Denton Moore ◽  
Constance Chia ◽  
Jennifer Mary Dorrell ◽  
...  
Keyword(s):  
Health Care ◽  
Hepatitis C ◽  
Drug Use ◽  
Treatment Outcomes ◽  
Integrated Health Care ◽  
Care Plan ◽  
Hepatitis C Treatment ◽  
Health Care Plan ◽  
Integrated Health ◽  
The Impact

scholarly journals Approaches to Evaluating Efficiency and Quality of Integrated Health Care: State of the Evidence

2016 ◽  
Vol 8 (3) ◽  
pp. 7-14 ◽  
Author(s):  
Iga Rudawska
Keyword(s):  
Health Care ◽  
Economic Efficiency ◽  
Research Evidence ◽  
Care Delivery ◽  
Integrated Health Care ◽  
Health Science ◽  
Positive Effects ◽  
Integrated Health ◽  
The Impact

AbstractThis paper investigates the outcomes of integrated health care model in terms of its economic efficiency and quality. The quality refers to subjective assessments of a patient, measured by a satisfaction indicator, as well as to the health benefits to a patient, measured by health status.A systematic literature review has been applied to study the results of care coordination. The author performed the ordered analysis of existing research evidence, based on peer-reviewed literature available on health science and business databases.The model of integrated health care delivery seemed to have positive effects on the quality of care. This encompasses mainly the quality of life, functional status, health outcomes, and process outcomes. The equal positive impact of integrated health programmes on economic efficiency has not been revealed. Only 15% of the effects reported in the reviews have been significant.The work contributes to the worldwide debate dedicated to the impact of integrated health care programmes. The gathered research evidence concerning positive influence on costs remains unclear. It might require further investigations. The work also revealed some significant gaps that are prevalent in the field of standardized instruments of measurement referring to integration outcomes, including quality and efficiency over time at levels of the system, programme, provider, and patient.

scholarly journals Evaluation of the impacts of a district-level mental health care plan on contact coverage, detection and individual outcomes in rural Uganda: a mixed methods approach

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
J. E. M. Nakku ◽  
S. D. Rathod ◽  
E. C. Garman ◽  
J. Ssebunnya ◽  
S. Kangere ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Disorders ◽  
Mental Health Care ◽  
Symptom Severity ◽  
Population Level ◽  
Care Plan ◽  
Health Care Plan ◽  
The Impact

Abstract Background The burden of mental disorders in low- and middle-income countries is large. Yet there is a major treatment gap for these disorders which can be reduced by integrating the care of mental disorders in primary care. Aim We aimed to evaluate the impact of a district mental health care plan (MHCP) on contact coverage for and detection of mental disorders, as well as impact on mental health symptom severity and individual functioning in rural Uganda. Results For adults who attended primary care facilities, there was an immediate positive effect of the MHCP on clinical detection at 3 months although this was not sustained at 12 months. Those who were treated in primary care experienced significant reductions in symptom severity and functional impairment over 12 months. There was negligible change in population-level contact coverage for depression and alcohol use disorder. Conclusion The study found that it is possible to integrate mental health care into primary care in rural Uganda. Treatment by trained primary care workers improves clinical and functioning outcomes for depression, psychosis and epilepsy. Challenges remain in accessing the men for care, sustaining the improvement in detection over time, and creating demand for services among those with presumed need.

scholarly journals Change in treatment coverage and barriers to mental health care among adults with depression and alcohol use disorder: a repeat cross sectional community survey in Nepal

2019 ◽  
Author(s):  
Nagendra Prasad Luitel ◽  
Emily C Garman ◽  
Mark JD Jord ◽  
Crick Lund
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Alcohol Use ◽  
Mental Health Care ◽  
Alcohol Use Disorder ◽  
Care Plan ◽  
Cross Sectional ◽  
Treatment Coverage ◽  
Health Care Plan

Abstract Background: Despite the availability of evidence-based treatment, there is a substantial gap between the number of individuals in need of mental health care and those who receive treatment. The aim of this study was to assess changes in treatment coverage and barriers to mental health care among adults with depression and alcohol use disorder (AUD) before and after implementation of a district mental health care plan (MHCP) in Nepal. Methods: The repeat population-based cross-sectional community survey was conducted with randomly selected adults in the baseline (N=1983) and the follow-up (N=1499) surveys, 3 years and 6 months apart. The Patient Health Questionnaire and Alcohol Use Disorder Identification Test were used to screen people with probable depression and AUD. Barriers to seeking mental health care were assessed by using a standardized tool, the Barriers to Care Evaluation Scale (BACE). Results: The proportion of the participants receiving treatment for depression increased by 3.7 points (from 8.1% in the baseline to 11.8% in the follow-up) and for AUD by 5.2 points (from 5.1% in the baseline to 10.3% in the follow-up study), however, these changes were not statistically significant. There was no significant reduction in the overall BACE score in both unadjusted and adjusted models for both depression and AUD. The possible reasons for non-significant changes in treatment coverage and barriers to care could be that (i) the method of repeat population level surveys with a random sample was too distal to the intervention to be able to register a change and (ii) the study was underpowered to detect such changes. Conclusion: The study found non-significant trends for improvements in treatment coverage and barriers to mental health care following implementation of the district mental health care plan. The key areas for improvement in the current strategy to improve treatment coverage and barriers to mental health care included change in the content of the existing community sensitization program, particularly for changing attitude and intention of people with mental illness for seeking care.

Distribution of hepatitis C virus genotypes in a diverse US integrated health care population

2012 ◽  
Vol 84 (11) ◽  
pp. 1744-1750 ◽  
Author(s):  
M. Michele Manos ◽  
Valentina A. Shvachko ◽  
Rosemary C. Murphy ◽  
Jean Marie Arduino ◽  
Norah J. Shire
Keyword(s):  
Health Care ◽  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Integrated Health Care ◽  
Integrated Health ◽  
Virus Genotypes ◽  
Hepatitis C Virus Genotypes

scholarly journals Change in treatment coverage and barriers to mental health care among adults with depression and alcohol use disorder: a repeat cross sectional community survey in Nepal

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Nagendra P. Luitel ◽  
Emily C. Garman ◽  
Mark J. D. Jordans ◽  
Crick Lund
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Alcohol Use ◽  
Mental Health Care ◽  
Alcohol Use Disorder ◽  
Care Plan ◽  
Cross Sectional ◽  
Treatment Coverage ◽  
Health Care Plan

Abstract Background Despite the availability of evidence-based treatment, there is a substantial gap between the number of individuals in need of mental health care and those who receive treatment. The aim of this study was to assess changes in treatment coverage and barriers to mental health care among adults with depression and alcohol use disorder (AUD) before and after implementation of a district mental health care plan (MHCP) in Nepal. Methods The repeat population-based cross-sectional community survey was conducted with randomly selected adults in the baseline (N = 1983) and the follow-up (N = 1499) surveys, 3 years and 6 months apart. The Patient Health Questionnaire and Alcohol Use Disorder Identification Test were used to screen people with probable depression and AUD. Barriers to seeking mental health care were assessed by using a standardized tool, the Barriers to Care Evaluation Scale (BACE). Results The proportion of the participants receiving treatment for depression increased by 3.7 points (from 8.1% in the baseline to 11.8% in the follow-up) and for AUD by 5.2 points (from 5.1% in the baseline to 10.3% in the follow-up study), however, these changes were not statistically significant. There was no significant reduction in the overall BACE score in both unadjusted and adjusted models for both depression and AUD. The possible reasons for non-significant changes in treatment coverage and barriers to care could be that (i) the method of repeat population level surveys with a random sample was too distal to the intervention to be able to register a change and (ii) the study was underpowered to detect such changes. Conclusion The study found non-significant trends for improvements in treatment coverage and barriers to mental health care following implementation of the district mental health care plan. The key areas for improvement in the current strategy to improve treatment coverage and barriers to mental health care included change in the content of the existing community sensitization program, particularly for changing attitude and intention of people with mental illness for seeking care.

scholarly journals Impact of a district mental health care plan on suicidality among patients with depression and alcohol use disorder in Nepal

PLoS ONE ◽  
2020 ◽  
Vol 15 (4) ◽  
pp. e0231158
Author(s):  
Luke R. Aldridge ◽  
Emily C. Garman ◽  
Nagendra P. Luitel ◽  
Mark J. D. Jordans
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Alcohol Use ◽  
Mental Health Care ◽  
Alcohol Use Disorder ◽  
Care Plan ◽  
Health Care Plan
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