Effect of clinic Primary Care-Mental Health Integration (PC-MHI) engagement on healthcare utilization and costs
| Type of Utilization | Unadjusted | 95% Confidence Interval | Adjusted | 95% Confidence Interval | ||
|---|---|---|---|---|---|---|
| Lower | Upper | Lower | Upper | |||
| Observations: (n = 304,422) (except ER, n = 238,340) | Patients: (n = 66,638) (except ER, n = 65,290) | |||||
| Ambulatory care encounters | ||||||
| Total Mental Health | −1.9% | −2.0% | −1.8%*** | 0.5% | 0.2% | 0.9%*** |
| Mental Health Specialty | −1.2% | −1.4% | −1.1%*** | −1.0% | −1.6% | −0.3%*** |
| Primary Care | −0.3% | −0.3% | −0.2%*** | −0.2% | −0.7% | 0.3% |
| Specialty | 0.0% | −0.1% | 0.1% | −0.02% | −0.3% | 0.2% |
| Acute Care visits/stays | ||||||
| VA ED | −0.7% | −0.8% | −0.5%*** | 0.5% | −0.1% | 1.0%* |
| VA Hospitalizations | −0.1% | −0.3% | 0.1% | 0.1% | −0.4% | 0.6% |
| Costs | β | SE | β | SE | ||
| Log of VA health care costs† | −0.7 | 0.03 | *** | −0.2 | 0.2 | |
↵***p < 0.01, **p < 0.05, *p < 0.1.
ED, emergency department; ER, emergency room; VA, Veterans Affairs.