Evidence map›Paper›PMID 31879647›Full record

ArticleJournal of family medicine and primary care2019

Behavioral health service utilization: Trends in utilization within a patient-centered medical home for low-income children and women.

Amjed Abu-Ghname, Michelle Clementi, Stephanie A Marton, Heidi Schwarzwald, Erica Giwa, Lisa Hollier, Stephanie G Chapman

Open access · goldAbstract read
In one paragraph

Article in Journal of family medicine and primary care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 26% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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 at 3 institutions in 1 country.

Amjed Abu-GhnameDivision of Plastic Surgery, Department of Surgery, Baylor College of Medicine, Houston, TX, USA.
Michelle ClementiDepartment of Pediatrics, Baylor College of Medicine, Houston, TX, USA.
Stephanie A MartonDepartment of Psychiatry, Boston Children's Hospital/Harvard Medical School, Boston, MA, USA.
Heidi SchwarzwaldDepartment of Pediatrics, Baylor College of Medicine, Houston, TX, USA.
Erica GiwaDepartment of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USA.
Lisa HollierDepartment of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USA.
Stephanie G ChapmanDepartment of Psychiatry, Boston Children's Hospital/Harvard Medical School, Boston, MA, USA.
Baylor College of Medicine · USBoston Children's Hospital · USHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBehavioral health (BH) problems frequently present in primary care settings. Despite high intervention needs, the majority of low-income, racially/ethnically diverse children and women do not receive necessary care. The current study examined utilization of BH care among low-income, racially/ethnically diverse pediatric and obstetric patients receiving services in an integrated patient-centered medical home (the Center) compared to patients receiving services in traditional settings.

methodsA retrospective review was performed on all consecutive Texas Children's Health Plan (TCHP) patients who received outpatient BH services between 2015 and 2017. Children and woman who utilized BH services at the Center were compared against those who utilized BH services via a traditional sitting outside the Center.

resultsA total of 54,612 were identified. Of those, 3,559 (6.5%) patients were seen at the Center and 51,053 (93.5%) patients were seen in the traditional setting. A larger proportion of pregnant/postpartum women and African American and Hispanic/Latino children and women utilized BH services in the PCMH compared to the traditional setting. Results also indicated higher levels of BH service use for patients with behavior problems or anxiety disorders, and increased use of services provided by doctoral level psychologists in the PCMH.

conclusionFindings support the benefit of integrated BH services in PCMH models for engaging traditionally marginalized populations in BH care.

Indexed as

Behavioral health and primary carebehavioral health integrationlow-income population

Identifiers

PMID31879647
PMCPMC6924215
OpenAlexW2996087923

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.