Improving quality of care for mental illness in an uninsured, low-income primary care population

  • Mauksch L
  • Reitz R
  • Tucker S
 et al. 
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Abstract

Objective: We assessed if an ongoing, multifaceted quality improvement program improved mental health care in a low-income, uninsured primary care clinic. Methods: We reviewed the charts of 500 consecutive patients in 1999 and 500 consecutive patients in 2004 to compare the number of mental health visits; the percentage of patients with more than three follow-up visits; the percentage with ≥1 visit with a prescribing provider and the percentage with a psychiatric medication prescribed. We also assessed whether patients with more than one charted mental illness received more care than patients with one mental illness. Results: Compared to 1999, patients in 2004 had significantly more visits in the first 120 days (acute phase) of treatment (3.16 vs. 4.81, P.012). A higher percentage of patients in the acute phase (28.9% vs. 49.5%, P

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Authors

  • L.B. Mauksch

  • R. Reitz

  • S. Tucker

  • S. Hurd

  • J. Russo

  • W.J. Katon

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