Evidence map›Paper›PMID 28851374›Full record

ArticleBMC health services research2017

Behavioral Health and the Comprehensive Primary Care (CPC) Initiative: findings from the 2014 CPC behavioral health survey.

Kara Zivin, Benjamin F Miller, Bruce Finke, Asaf Bitton, Perry Payne, Edith C Stowe, Ashok Reddy, Timothy J Day, Pauline Lapin, Janel L Jin and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
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

11 authors.

Kara ZivinDepartment of Veterans Affairs, Center for Clinical Management Research, 2800 Plymouth Road, Ann Arbor, MI, 48109, USA. kzivin@umich.edu.
Benjamin F MillerDepartment of Family Medicine, University of Colorado School of Medicine, 12631 East 17th Ave, Aurora, CO, 80045, USA.
Bruce FinkeCenter for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, 7500 Security Boulevard, Baltimore, MD, 21244, USA.
Asaf BittonCenter for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, 7500 Security Boulevard, Baltimore, MD, 21244, USA.
Perry PayneCenter for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, 7500 Security Boulevard, Baltimore, MD, 21244, USA.
Edith C StoweCenter for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, 7500 Security Boulevard, Baltimore, MD, 21244, USA.
Ashok ReddyDepartment of Medicine, University of Washington, 325 Ninth Ave, Campus Box 359780, Seattle, WA, 98104, USA.
Timothy J DayCenter for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, 7500 Security Boulevard, Baltimore, MD, 21244, USA.
Pauline LapinCenter for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, 7500 Security Boulevard, Baltimore, MD, 21244, USA.
Janel L JinCenter for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, 7500 Security Boulevard, Baltimore, MD, 21244, USA.
Laura L SessumsCenter for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services, 7500 Security Boulevard, Baltimore, MD, 21244, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncorporating behavioral health care into patient centered medical homes is critical for improving patient health and care quality while reducing costs. Despite documented effectiveness of behavioral health integration (BHI) in primary care settings, implementation is limited outside of large health systems. We conducted a survey of BHI in primary care practices participating in the Comprehensive Primary Care (CPC) initiative, a four-year multi-payer initiative of the Centers for Medicare and Medicaid Services (CMS). We sought to explore associations between practice characteristics and the extent of BHI to illuminate possible factors influencing successful implementation.

methodWe fielded a survey that addressed six substantive domains (integrated space, training, access, communication and coordination, treatment planning, and available resources) and five behavioral health conditions (depression, anxiety, pain, alcohol use disorder, and cognitive function). Descriptive statistics compared BHI survey respondents to all CPC practices, documented the availability of behavioral health providers, and primary care and behavioral health provider communication. Bivariate relationships compared provider and practice characteristics and domain scores.

resultsOne hundred sixty-one of 188 eligible primary care practices completed the survey (86% response rate). Scores indicated basic to good baseline implementation of BHI in all domains, with lowest scores on communication and coordination and highest scores for depression. Higher scores were associated with: having any behavioral health provider, multispecialty practice, patient-centered medical home designation, and having any communication between behavioral health and primary care providers.

conclusionsThis study provides useful data on opportunities and challenges of scaling BHI integration linked to primary care transformation. Payment reform models such as CPC can assist in BHI promotion and development.

Indexed as

Comprehensive Health CareHealth BehaviorPrimary Health CareCenters for Medicare and Medicaid Services, U.S.Health SurveysHumansMental HealthPatient-Centered CareQuality of Health CareUnited StatesBehavioral health integrationCostsPatient centered medical homesPrimary care

Identifiers

PMID28851374
PMCPMC5576039

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.