PMID- 28738686
OWN - NLM
STAT- MEDLINE
DCOM- 20180425
LR  - 20180425
IS  - 1936-2692 (Electronic)
IS  - 1088-0224 (Linking)
VI  - 23
IP  - 5
DP  - 2017 May
TI  - Disparities in diabetes and hypertension care for individuals with serious mental 
      illness.
PG  - 304-308
AB  - OBJECTIVES: People with serious mental illnesses (SMI), including schizophrenia, 
      bipolar disorder, and major depression, experience early mortality, partly due to 
      comorbid physical health conditions such as diabetes and hypertension. This study 
      examined the quality of diabetes and hypertension care for Medicaid and Medicare 
      enrollees with SMI. STUDY DESIGN: We conducted a retrospective analysis of 
      medical records and claims data from 3 health plans: a Medicaid plan for disabled 
      adults, a Medicaid plan for low-income adults, and a Special Needs Plan for 
      individuals dually enrolled in Medicaid and Medicare. The study population 
      included 258 adults with SMI and diabetes and 241 adults with SMI and 
      hypertension. METHODS: Existing quality measures for diabetes and hypertension 
      from the Healthcare Effectiveness Data and Information Set (HEDIS) were adapted 
      and applied to the SMI population for the 2012 calendar year. The rates of 
      diabetes care and hypertension control for people with SMI were compared with 
      national averages for Medicaid and Medicare managed care plans to examine 
      disparities in care. RESULTS: Adults with SMI receive poor-quality care for 
      diabetes and hypertension. Depending on the health plan, performance on the 
      diabetes care and hypertension control HEDIS measures was 14 to 49 percentage 
      points lower among the SMI population than the general Medicaid and Medicare 
      populations. CONCLUSIONS: Findings highlight disparities in care for individuals 
      with SMI compared with the general Medicaid and Medicare populations. Health 
      plans demonstrated substantial room for improvement on almost all diabetes and 
      hypertension HEDIS measures for the SMI population.
FAU - Liu, Junqing
AU  - Liu J
AD  - National Committee for Quality Assurance, 1100 13th St NW, Ste 10000, Washington, 
      DC 20005. E-mail: liu@ncqa.org.
FAU - Brown, Jonathan
AU  - Brown J
FAU - Morton, Suzanne
AU  - Morton S
FAU - Potter, D E B
AU  - Potter DEB
FAU - Patton, Lisa
AU  - Patton L
FAU - Patel, Milesh
AU  - Patel M
FAU - Lewis, Rita
AU  - Lewis R
FAU - Hudson Scholle, Sarah
AU  - Hudson Scholle S
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am J Manag Care
JT  - The American journal of managed care
JID - 9613960
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Ambulatory Care/statistics & numerical data
MH  - Diabetes Complications/psychology/therapy
MH  - Diabetes Mellitus/*therapy
MH  - Healthcare Disparities/*statistics & numerical data
MH  - Humans
MH  - Hypertension/complications/*therapy
MH  - Insurance Claim Review
MH  - Medicaid/statistics & numerical data
MH  - Mental Disorders/complications/*therapy
MH  - Middle Aged
MH  - Quality of Health Care/statistics & numerical data
MH  - Retrospective Studies
MH  - United States
MH  - Young Adult
EDAT- 2017/07/26 06:00
MHDA- 2018/04/26 06:00
CRDT- 2017/07/26 06:00
PHST- 2017/07/26 06:00 [entrez]
PHST- 2017/07/26 06:00 [pubmed]
PHST- 2018/04/26 06:00 [medline]
AID - 87071 [pii]
PST - ppublish
SO  - Am J Manag Care. 2017 May;23(5):304-308.