Continuity of medication management in Medicaid patients with chronic comorbid conditions: An examination by mental health status.

ABSTRACT:

Objective

Patients with serious mental illness (SMI) often have comorbid cardiometabolic conditions (CMCs) that may increase the number of prescribers involved in treatment. This study examined whether patients with SMI (depression and schizophrenia) and comorbid CMCs experience greater discontinuity of prescribing than patients with CMCs alone.

Methods

2009 Medicaid data were used to compare number and types of prescribers (primary care, cardiometabolic, psychiatric, other) in individuals with 1-3 CMCs (diabetes, hypertension, dyslipidemia) alone (n=76.451); with CMC and schizophrenia (n=6507); and with CMC and depression (n=23.510) and the degree of prescribing within a provider's area of specialty.

Results

44%, 61%, and 71% of individuals with CMCs only, with CMCs

SUBMITTER: Farley JF 

PROVIDER: S-EPMC5843714 | biostudies-literature | 2017 Mar - Apr

REPOSITORIES: biostudies-literature