Utilization and Adherence in Medical Homes: An Assessment of Rural-Urban Differences for People With Severe Mental Illness.

ABSTRACT:

Background

The complex nature of managing care for people with severe mental illness (SMI), including major depression, bipolar disorder, and schizophrenia, is a challenge for primary care practices, especially in rural areas. The team-based emphasis of medical homes may act as an important facilitator to help reduce observed rural-urban differences in care.

Objective

The objective of this study was to examine whether enrollment in medical homes improved care in rural versus urban settings for people with SMI.

Research design

Secondary data analysis of North Carolina Medicaid claims from 2004-2007, using propensity score weights and generalized estimating equations to assess differences between urban, nonmetropolitan urban and rural areas.

Subjects

Medicaid-enr

SUBMITTER: Kilany M 

PROVIDER: S-EPMC6298219 | biostudies-literature | 2018 Oct

REPOSITORIES: biostudies-literature