Evidence map›Paper›PMID 26359475›Full record

ArticleJournal of the American Board of Family Medicine : JABFM

REACH of Interventions Integrating Primary Care and Behavioral Health.

Bijal A Balasubramanian, Douglas Fernald, L Miriam Dickinson, Melinda Davis, Rose Gunn, Benjamin F Crabtree, Benjamin F Miller, Deborah J Cohen

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
9.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 27 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Bijal A BalasubramanianFrom the Department of Epidemiology, Human Genetics, and Environmental Sciences, University of Texas School of Public Health, Dallas Regional Campus, Dallas (BAB); Department of Family Medicine, University of Colorado School of Medicine, Aurora (DF, LMD, BFM); Department of Family Medicine, Oregon Health & Science University (RG) and Oregon Rural Practice-Cased Research Network, Portland (MD); Department of Family Medicine and Community Health, Rutgers-Robert Wood Johnson Medical School, Somerset, NJ and Department of Epidemiology, Rutgers School of Public Health, Piscataway, NJ (BFC); Department of Family Medicine and the Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland (DJC). bijal.a.balasubramanian@uth.tmc.edu.
Douglas FernaldFrom the Department of Epidemiology, Human Genetics, and Environmental Sciences, University of Texas School of Public Health, Dallas Regional Campus, Dallas (BAB); Department of Family Medicine, University of Colorado School of Medicine, Aurora (DF, LMD, BFM); Department of Family Medicine, Oregon Health & Science University (RG) and Oregon Rural Practice-Cased Research Network, Portland (MD); Department of Family Medicine and Community Health, Rutgers-Robert Wood Johnson Medical School, Somerset, NJ and Department of Epidemiology, Rutgers School of Public Health, Piscataway, NJ (BFC); Department of Family Medicine and the Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland (DJC).
L Miriam DickinsonFrom the Department of Epidemiology, Human Genetics, and Environmental Sciences, University of Texas School of Public Health, Dallas Regional Campus, Dallas (BAB); Department of Family Medicine, University of Colorado School of Medicine, Aurora (DF, LMD, BFM); Department of Family Medicine, Oregon Health & Science University (RG) and Oregon Rural Practice-Cased Research Network, Portland (MD); Department of Family Medicine and Community Health, Rutgers-Robert Wood Johnson Medical School, Somerset, NJ and Department of Epidemiology, Rutgers School of Public Health, Piscataway, NJ (BFC); Department of Family Medicine and the Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland (DJC).
Melinda DavisFrom the Department of Epidemiology, Human Genetics, and Environmental Sciences, University of Texas School of Public Health, Dallas Regional Campus, Dallas (BAB); Department of Family Medicine, University of Colorado School of Medicine, Aurora (DF, LMD, BFM); Department of Family Medicine, Oregon Health & Science University (RG) and Oregon Rural Practice-Cased Research Network, Portland (MD); Department of Family Medicine and Community Health, Rutgers-Robert Wood Johnson Medical School, Somerset, NJ and Department of Epidemiology, Rutgers School of Public Health, Piscataway, NJ (BFC); Department of Family Medicine and the Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland (DJC).
Rose GunnFrom the Department of Epidemiology, Human Genetics, and Environmental Sciences, University of Texas School of Public Health, Dallas Regional Campus, Dallas (BAB); Department of Family Medicine, University of Colorado School of Medicine, Aurora (DF, LMD, BFM); Department of Family Medicine, Oregon Health & Science University (RG) and Oregon Rural Practice-Cased Research Network, Portland (MD); Department of Family Medicine and Community Health, Rutgers-Robert Wood Johnson Medical School, Somerset, NJ and Department of Epidemiology, Rutgers School of Public Health, Piscataway, NJ (BFC); Department of Family Medicine and the Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland (DJC).
Benjamin F CrabtreeFrom the Department of Epidemiology, Human Genetics, and Environmental Sciences, University of Texas School of Public Health, Dallas Regional Campus, Dallas (BAB); Department of Family Medicine, University of Colorado School of Medicine, Aurora (DF, LMD, BFM); Department of Family Medicine, Oregon Health & Science University (RG) and Oregon Rural Practice-Cased Research Network, Portland (MD); Department of Family Medicine and Community Health, Rutgers-Robert Wood Johnson Medical School, Somerset, NJ and Department of Epidemiology, Rutgers School of Public Health, Piscataway, NJ (BFC); Department of Family Medicine and the Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland (DJC).
Benjamin F MillerFrom the Department of Epidemiology, Human Genetics, and Environmental Sciences, University of Texas School of Public Health, Dallas Regional Campus, Dallas (BAB); Department of Family Medicine, University of Colorado School of Medicine, Aurora (DF, LMD, BFM); Department of Family Medicine, Oregon Health & Science University (RG) and Oregon Rural Practice-Cased Research Network, Portland (MD); Department of Family Medicine and Community Health, Rutgers-Robert Wood Johnson Medical School, Somerset, NJ and Department of Epidemiology, Rutgers School of Public Health, Piscataway, NJ (BFC); Department of Family Medicine and the Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland (DJC).
Deborah J CohenFrom the Department of Epidemiology, Human Genetics, and Environmental Sciences, University of Texas School of Public Health, Dallas Regional Campus, Dallas (BAB); Department of Family Medicine, University of Colorado School of Medicine, Aurora (DF, LMD, BFM); Department of Family Medicine, Oregon Health & Science University (RG) and Oregon Rural Practice-Cased Research Network, Portland (MD); Department of Family Medicine and Community Health, Rutgers-Robert Wood Johnson Medical School, Somerset, NJ and Department of Epidemiology, Rutgers School of Public Health, Piscataway, NJ (BFC); Department of Family Medicine and the Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland (DJC).
Rutgers, The State University of New Jersey · USOregon Health & Science University · USDallas Independent School District · USResearch Network (United States) · US

Funding

Oregon Patient Centered Outcomes Research K12 ProgramK12HS022981 · AHRQ · OREGON HEALTH & SCIENCE UNIVERSITY · PI GUISE, JEANNE-MARIE · 2014 to 2018
$4.1M
AHRQ HHS 1 K12 HS022981 01AHRQ HHS K12 HS022981
6 · The paper itself

Abstract

purposeThis study reports REACH (the extent to which an intervention or program was delivered to the identified target population) of interventions integrating primary care and behavioral health implemented by real-world practices.

methodsEleven practices implementing integrated care interventions provided data to calculate REACH as follows: 1) Screening REACH defined as proportion of target patients assessed for integrated care, and 2) Integrated care services REACH-defined as proportion of patients receiving integrated services of those who met specific criteria. Difference in mean REACH between practices was evaluated using t test.

resultsOverall, 26.2% of target patients (n = 24,906) were assessed for integrated care and 41% (n = 836) of eligible patients received integration services. Practices that implemented systematic protocols to identify patients needing integrated care had a significantly higher screening REACH (mean, 70%; 95% CI [confidence interval], 46.6-93.4%) compared with practices that used clinicians' discretion (mean, 7.9%; 95% CI, 0.6-15.1; P = .0014). Integrated care services REACH was higher among practices that used clinicians' discretion compared with those that assessed patients systematically (mean, 95.8 vs 53.8%; P = .03).

conclusionREACH of integrated care interventions differed by practices' method of assessing patients. Measuring REACH is important to evaluate the extent to which integration efforts affect patient care and can help demonstrate the impact of integrated care to payers and policy makers.

Indexed as

Community Mental Health ServicesDelivery of Health Care, IntegratedFemaleHumansMaleMental DisordersPractice Management, MedicalPrimary Health CareProgram EvaluationUnited StatesDelivery of Health CareEvaluation StudiesHealth Plan ImplementationIntegratedPrimary Health Care

Identifiers

PMID26359475
PMCPMC7315784
OpenAlexW2274673061

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.