Evidence map›Paper›PMID 30152270›Full record

ArticlePsychiatric services (Washington, D.C.)2018

Participation in Accountable Care Organizations Among Hospitals Offering Substance Use Disorder and Mental Health Services.

Michal J McDowell, Alisa B Busch, Aditi P Sen, Elizabeth A Stuart, Lauren Riedel, Colleen L Barry, Haiden A Huskamp

Abstract read
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

7 authors.

Michal J McDowellDr. McDowell is with the Department of Psychiatry, Massachusetts General Hospital, Boston. She is also with the Department of Psychiatry, McLean Hospital, Belmont, Massachusetts, where Dr. Busch is affiliated. Dr. Sen, Dr. Stuart, and Dr. Barry are with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore. Ms. Riedel and Dr. Huskamp are with the Department of Health Care Policy, Harvard Medical School, Boston. Steven S. Sharfstein, M.D., Haiden A. Huskamp, Ph.D., and Alison Evans Cuellar, Ph.D., are editors of this column.
Alisa B BuschDr. McDowell is with the Department of Psychiatry, Massachusetts General Hospital, Boston. She is also with the Department of Psychiatry, McLean Hospital, Belmont, Massachusetts, where Dr. Busch is affiliated. Dr. Sen, Dr. Stuart, and Dr. Barry are with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore. Ms. Riedel and Dr. Huskamp are with the Department of Health Care Policy, Harvard Medical School, Boston. Steven S. Sharfstein, M.D., Haiden A. Huskamp, Ph.D., and Alison Evans Cuellar, Ph.D., are editors of this column.
Aditi P SenDr. McDowell is with the Department of Psychiatry, Massachusetts General Hospital, Boston. She is also with the Department of Psychiatry, McLean Hospital, Belmont, Massachusetts, where Dr. Busch is affiliated. Dr. Sen, Dr. Stuart, and Dr. Barry are with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore. Ms. Riedel and Dr. Huskamp are with the Department of Health Care Policy, Harvard Medical School, Boston. Steven S. Sharfstein, M.D., Haiden A. Huskamp, Ph.D., and Alison Evans Cuellar, Ph.D., are editors of this column.
Elizabeth A StuartDr. McDowell is with the Department of Psychiatry, Massachusetts General Hospital, Boston. She is also with the Department of Psychiatry, McLean Hospital, Belmont, Massachusetts, where Dr. Busch is affiliated. Dr. Sen, Dr. Stuart, and Dr. Barry are with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore. Ms. Riedel and Dr. Huskamp are with the Department of Health Care Policy, Harvard Medical School, Boston. Steven S. Sharfstein, M.D., Haiden A. Huskamp, Ph.D., and Alison Evans Cuellar, Ph.D., are editors of this column.
Lauren RiedelDr. McDowell is with the Department of Psychiatry, Massachusetts General Hospital, Boston. She is also with the Department of Psychiatry, McLean Hospital, Belmont, Massachusetts, where Dr. Busch is affiliated. Dr. Sen, Dr. Stuart, and Dr. Barry are with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore. Ms. Riedel and Dr. Huskamp are with the Department of Health Care Policy, Harvard Medical School, Boston. Steven S. Sharfstein, M.D., Haiden A. Huskamp, Ph.D., and Alison Evans Cuellar, Ph.D., are editors of this column.
Colleen L BarryDr. McDowell is with the Department of Psychiatry, Massachusetts General Hospital, Boston. She is also with the Department of Psychiatry, McLean Hospital, Belmont, Massachusetts, where Dr. Busch is affiliated. Dr. Sen, Dr. Stuart, and Dr. Barry are with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore. Ms. Riedel and Dr. Huskamp are with the Department of Health Care Policy, Harvard Medical School, Boston. Steven S. Sharfstein, M.D., Haiden A. Huskamp, Ph.D., and Alison Evans Cuellar, Ph.D., are editors of this column.
Haiden A HuskampDr. McDowell is with the Department of Psychiatry, Massachusetts General Hospital, Boston. She is also with the Department of Psychiatry, McLean Hospital, Belmont, Massachusetts, where Dr. Busch is affiliated. Dr. Sen, Dr. Stuart, and Dr. Barry are with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore. Ms. Riedel and Dr. Huskamp are with the Department of Health Care Policy, Harvard Medical School, Boston. Steven S. Sharfstein, M.D., Haiden A. Huskamp, Ph.D., and Alison Evans Cuellar, Ph.D., are editors of this column.

Funding

Research Support CoreP30DA035772 · NIDA · BRANDEIS UNIVERSITY · PI Haiden A Huskamp, SHARON REIF · 2015 to 2026
$11.3M
Fostering Research Mentorship & Training during Psychiatry Residency SupplementR25MH094612 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI FAVA, MAURIZIO, GREENFIELD, SHELLY F. · 2011 to 2022
$2.3M
Substance Use Disorder Treatment under New Payment and Delivery System ModelsR01DA035214 · NIDA · HARVARD MEDICAL SCHOOL · PI BARRY, COLLEEN L, HUSKAMP, HAIDEN A. · 2013 to 2015
$2.2M
NIDA NIH HHS P30 DA035772NIDA NIH HHS R01 DA035214NIMH NIH HHS R25 MH094612
6 · The paper itself

Abstract

Accountable care organizations (ACOs) can potentially improve value in behavioral health care. However, little is known about the likelihood of ACO participation among hospitals with behavioral health services. The authors explore statistical predictors of ACO participation among hospitals, particularly among those offering behavioral health services. After adjusting for other hospital characteristics, the analysis found that behavioral health specialty hospitals were less likely to participate in an ACO and general medical-surgical hospitals with behavioral health services were more likely to participate, compared with general medical-surgical hospitals without behavioral health services. A better understanding is needed of barriers to ACO participation within behavioral health specialty hospitals and how ACO participation may affect quality of behavioral health care.

Indexed as

Accountable Care OrganizationsHospitals, GeneralHumansMental DisordersMental Health ServicesSubstance-Related DisordersAlcohol and drug abuseHealth care reformInsuranceMental illness and alcohol/drug abusePublic policy issues

Identifiers

PMID30152270
PMCPMC6395515

What OpenQuestion holds

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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.