Improving Primary Care in Patients With Mental Disorders
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 入组人数
- 407
- 试验地点
- 4
- 主要终点
- Quality of primary medical care
研究概览
简要总结
This study will determine the effectiveness of medical case management in improving the medical care of people with mental disorders or substance abuse problems.
详细描述
Poor quality of care may contribute to impaired health status and increased mortality in individuals with serious mental disorders and substance abuse problems; interventions designed to improve medical care for this population need to be developed. This study will develop a population-based medical case management model for improving the primary medical care of patients at an inner city community mental health center.
This study will last 2 years. Participants will be randomly assigned to receive medical case management or standard of care (typically drug and behavioral therapy) for 2 years. Participants in the case management group will receive help in overcoming barriers to receiving primary care. Participants will also undergo 5 interviews over the 2-year study duration, and have annual chart reviews. Results of the interviews will be used to assess quality of primary care, service use, health outcomes, psychiatric symptoms, and substance use.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosis of mental illness or substance abuse
- •Patient at Florida Hall (Grady Health Systems)
排除标准
- •Current use of medical case management
结局指标
主要结局
Quality of primary medical care
时间窗: Measured over 2 years
次要结局
- Health status(Measured over 2 years)
- Psychiatric symptoms(2004-2009)
- Costs(2004-2009)
研究者
Benjamin Druss
Principal Investigator
Emory University