The Effects of Integrated Care on Patient Outcomes in a Primary and Behavioral Health Care Integrated System
MetadataShow full item record
Problem under investigation: The mortality and cost of patients with chronic health conditions who also have mental illness are estimated to be 75% higher than patients in the general population and has constituted 10.4% of the global burden of disease. The integration of Primary and Behavioral Health Care (PBCHI) has been shown in some settings to improve mental and physical outcomes, however they have not been comprehensively evaluated. Objective: The objective of this capstone project is to determine whether the integration of primary and behavioral health care will improve health outcomes of its participants. Background literature review: Review of the literature found no consensus on whether PBCHI had an effect on health outcomes. Theoretical Framework: General Systems Theory and its subset Complex Theory was used to explain the variability in outcomes. Methods: A quasi-experimental design which used a retrospective chart review was used to collect eleven biologic markers collected from 180 patients enrolled in a PBHCI in Syracuse, New York. Data was collected at six-month intervals over a one-year period of time. Data Analysis: Descriptive statistics, and RM-ANOVA was used to determine statistical significance in the difference in each biologic marker over time. Results: The variable carbon monoxide (CO) was the only variable to show a difference over time as noted between the first and last data collection points. No other variables demonstrated statistical change. Conclusion: More research is required over longer periods of time and to control for confounding factors.