From Mental Health Consultant to Primary Care Provider

1993 ◽  
Author(s):  
Robert G. Frank ◽  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Care Provider ◽  
Primary Care Provider

scholarly journals Demystifying Infant Mental Health: What the Primary Care Provider Needs to Know

2016 ◽  
Vol 30 (1) ◽  
pp. 38-48 ◽  
Author(s):  
Tanika E. Simpson ◽  
Eileen Condon ◽  
Rosemary M. Price ◽  
Bennie Kelly Finch ◽  
Lois S. Sadler ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Care Provider ◽  
Primary Care Provider ◽  
Infant Mental Health

scholarly journals Factors Associated With Patient Ratings of Timeliness of Primary Care Appointments

2020 ◽  
Vol 7 (6) ◽  
pp. 1203-1210
Author(s):  
Michael Mayo-Smith ◽  
Laurel E. Radwin ◽  
Hassen Abdulkerim ◽  
David C. Mohr
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Care Provider ◽  
Primary Care Provider ◽  
Wait Times ◽  
Health Administration ◽  
Factors Associated ◽  
Patient Reported ◽  
Survey Responses ◽  
Improve Access

As access is the lowest rated dimension in surveys of outpatient experience, we sought to identify patient, practice, and provider factors associated with positive ratings of timeliness of primary care appointments. A cross-sectional study with multivariable, multilevel logistic regression was performed using survey responses from 236 695 individuals receiving care in the Veterans Health Administration (VA). Top box ratings (response of “always”) for whether the patient reported receiving an appointment as soon as they needed in primary care for routine care and for care needed right away were the main outcomes. Independent variables capturing patient, practice, and provider factors were obtained from survey responses and VA databases. Degree of continuity with primary care provider and duration of relationship were strongly associated with higher ratings. Shorter primary care appointment wait times for both new and returning patients were associated with higher ratings. Independent wait times for mental health and specialty appointments had no effect. Older age, better self-reported physical and mental health, lower disease complexity, and rural residence were patient factors associated with higher ratings while gender, race, ethnicity, and education had little effect. Measures of continuity with primary care provider as well as appointment wait times have strong association with positive patient ratings of appointment timeliness. Patients treated in Veterans Affairs clinics may value continuity with their primary care provider over longer times. Initiatives to improve access could focus on improving continuity and ensuring efforts to improve access do not impact continuity.

Receiving Advice About Child Mental Health From a Primary Care Provider

Medical Care ◽  
2007 ◽  
Vol 45 (11) ◽  
pp. 1076-1082 ◽  
Author(s):  
Jonathan D. Brown ◽  
Lawrence S. Wissow ◽  
Ciara Zachary ◽  
Benjamin L. Cook
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Care Provider ◽  
Primary Care Provider ◽  
Child Mental Health

Improving Deployment-Related Primary Care Provider Assessments of PTSD and Mental Health Conditions

2010 ◽  
Author(s):  
Susan D. Kelley ◽  
Leonard Bickman ◽  
Stephanie Boyd ◽  
Ryan Hargraves ◽  
Melanie Leslie
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Care Provider ◽  
Primary Care Provider ◽  
Health Conditions ◽  
Mental Health Conditions

scholarly journals P052: Who are the super-users of the emergency department?

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S83-S83
Author(s):  
R. North ◽  
D. Savage ◽  
D. VanderBurgh ◽  
G. McKay ◽  
C. McMillan ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Outcomes ◽  
Care Provider ◽  
Primary Care Provider ◽  
Average Length ◽  
Admission Rate ◽  
Mortality Data ◽  
User Group ◽  
Super Users

Introduction: All emergency departments (EDs) across Canada can identify a group of high frequency users, which are typically defined in the literature as eight to ten visits per year. Although frequent users of the ED are well-studied in the literature, there is little published in terms of identifying the “super-user” group who present to the ED much more often than 10 visits per year. Faced with multiple co-morbidities and a high mortality rate, the ED is often the most appropriate environment to manage this population. In order to inform future initiatives to improve health outcomes, we aimed to identify the specific characteristics of this super-user group. Methods: A retrospective chart review was conducted using the electronic medical record from the Thunder Bay Regional Health Sciences Centre to identify patients who had at least 25 visits in the year 2017. A total of 75 patients presented to the ED greater than 25 times in 2017. The following data was then collected on each individual patient: demographic characteristics including age, gender, address, access to a primary care provider. In addition, we collected date, time, diagnoses at each visit, admission rate and surgical interventions. Results: Our preliminary results reveal this population presents to the ED on average 32 times per year. The population is 53% male. Most have a private address and half have a primary care provider for all 2017 with one quarter having a primary care provider for part of the year. The percentage of visits for infections was 30%, mental health and addictions presentations comprised 28% of the visits, with gastrointestinal and cardiac visits comprising a total 22% of the visits. Approximately 7% of visits required admission to hospital, and the average length of stay was 5 days. Conclusion: Super-users of the ED are a unique population that are typically well connected with primary care and have a very low admission and surgical rate. The most common reasons for visit are infections and mental health and addictions. The next steps include collecting mortality data. This data should be used to inform ED and community initiatives aimed at improved health outcomes for this population.

Sign in / Sign up

Export Citation Format

Share Document