A formative assessment of client characteristics associated with missed appointments in integrated primary care services in rural Arizona.
delivery of healthcare
interdisciplinary health teams
mental health services
primary care
Journal
Journal of evaluation in clinical practice
ISSN: 1365-2753
Titre abrégé: J Eval Clin Pract
Pays: England
ID NLM: 9609066
Informations de publication
Date de publication:
Mar 2024
Mar 2024
Historique:
revised:
29
09
2023
received:
06
05
2023
accepted:
19
10
2023
pubmed:
7
11
2023
medline:
7
11
2023
entrez:
7
11
2023
Statut:
ppublish
Résumé
Integrating primary care services in mental healthcare facilities is an uncommon model of care in the United States that could bring several benefits (e.g., improved access to physical healthcare) for vulnerable populations experiencing mental health conditions, especially those living in underserved regions like rural Arizona. This formative assessment aimed to understand the sociodemographic and clinical characteristics of clients accessing integrated primary care (IPC) services implemented in 2021 at a community mental healthcare facility in rural Arizona and to explore the proportion of missed appointments. Additionally, we analysed the association between client characteristics and IPC missed appointments. The authors collaborated with a community mental health facility in rural Arizona, which provided deidentified data from 280 clients who accessed IPC services from June 2021 to February 2022. Most clients were White and of vulnerable socioeconomic status, with a substantial proportion of Native Americans (23.58%). The majority of clients (55.75%) had a mental health disorder (MHD), 23.74% had a substance use disorder (SUD), and 15.10% had comorbid MHD and SUD. Linear regression revealed that experiencing comorbid MHD and SUD was significantly associated with missed appointments. Compared with White clients, Native Americans missed fewer appointments. Future studies conducted from a culturally-centred perspective are crucial to guide strategies to reduce missed appointments in rural IPC services.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
243-250Subventions
Organisme : National Institute on Drug Abuse (NIDA) Culturally Centered Addictions Research Training (C-CART) Program
ID : 5R25DA053805-03
Organisme : The NARBHA Institute
Organisme : National Institute for Minority Health and Health Disparities (NIMHD) Southwest Health Equity Research Collaborative RCMI
ID : U54MD012388
Informations de copyright
© 2023 John Wiley & Sons Ltd.
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