Cargando…

Treatment Compliance Communications Between Patients with Severe Mental Illness and Treating Healthcare Providers: A Retrospective Study of Documentation Using Healthcare Reimbursement Claims and Medical Chart Abstraction

INTRODUCTION: Successful treatment for serious mental illnesses (SMIs) requires a good therapeutic alliance with healthcare providers and compliance with prescribed therapies such as antipsychotic medications. This retrospective study, which utilized administrative claims linked with abstracted medi...

Descripción completa

Detalles Bibliográficos
Autores principales: Martin, Carolyn, Koep, Eleena, White, John, Belland, Angela, Waters, Heidi, Forma, Felicia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8214573/
https://www.ncbi.nlm.nih.gov/pubmed/34163283
http://dx.doi.org/10.2147/POR.S303453
_version_ 1783710092789547008
author Martin, Carolyn
Koep, Eleena
White, John
Belland, Angela
Waters, Heidi
Forma, Felicia
author_facet Martin, Carolyn
Koep, Eleena
White, John
Belland, Angela
Waters, Heidi
Forma, Felicia
author_sort Martin, Carolyn
collection PubMed
description INTRODUCTION: Successful treatment for serious mental illnesses (SMIs) requires a good therapeutic alliance with healthcare providers and compliance with prescribed therapies such as antipsychotic medications. This retrospective study, which utilized administrative claims linked with abstracted medical chart data, addressed a data gap regarding compliance-related discussions between providers and patients. METHODS: Commercially insured patients in ambulatory care post-acute (emergency or inpatient) event were eligible. Criteria included age 18–65 years; schizophrenia, bipolar disorder, or major depressive disorder diagnoses; continuous enrollment 6 months before to 12 months after the first acute event claim dated 01/01/2014 to 12/31/2015; and antipsychotic medication prescription. Demographic and clinical data, and patient–provider discussions about treatment compliance were characterized from claims and abstracted medical charts. RESULTS: Ninety patients (62% female, mean age 41 years) were included and 680 visits were abstracted; only 58% had first-visit antipsychotic compliance discussions. Notably, 18% of patients had discussions using the specific terms “compliance,” “persistence,” or “adherence,” whereas half were identified by more general terms. Compliance discussions were observed least often among the patients with schizophrenia, as compared with bipolar or major depressive disorders—a counterintuitive finding. DISCUSSION: Compliance discussions may represent intervention opportunities to optimize treatment, yet their study is a complex endeavor. The results of this study show an opportunity to improve this valuable treatment step.
format Online
Article
Text
id pubmed-8214573
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Dove
record_format MEDLINE/PubMed
spelling pubmed-82145732021-06-22 Treatment Compliance Communications Between Patients with Severe Mental Illness and Treating Healthcare Providers: A Retrospective Study of Documentation Using Healthcare Reimbursement Claims and Medical Chart Abstraction Martin, Carolyn Koep, Eleena White, John Belland, Angela Waters, Heidi Forma, Felicia Pragmat Obs Res Original Research INTRODUCTION: Successful treatment for serious mental illnesses (SMIs) requires a good therapeutic alliance with healthcare providers and compliance with prescribed therapies such as antipsychotic medications. This retrospective study, which utilized administrative claims linked with abstracted medical chart data, addressed a data gap regarding compliance-related discussions between providers and patients. METHODS: Commercially insured patients in ambulatory care post-acute (emergency or inpatient) event were eligible. Criteria included age 18–65 years; schizophrenia, bipolar disorder, or major depressive disorder diagnoses; continuous enrollment 6 months before to 12 months after the first acute event claim dated 01/01/2014 to 12/31/2015; and antipsychotic medication prescription. Demographic and clinical data, and patient–provider discussions about treatment compliance were characterized from claims and abstracted medical charts. RESULTS: Ninety patients (62% female, mean age 41 years) were included and 680 visits were abstracted; only 58% had first-visit antipsychotic compliance discussions. Notably, 18% of patients had discussions using the specific terms “compliance,” “persistence,” or “adherence,” whereas half were identified by more general terms. Compliance discussions were observed least often among the patients with schizophrenia, as compared with bipolar or major depressive disorders—a counterintuitive finding. DISCUSSION: Compliance discussions may represent intervention opportunities to optimize treatment, yet their study is a complex endeavor. The results of this study show an opportunity to improve this valuable treatment step. Dove 2021-06-15 /pmc/articles/PMC8214573/ /pubmed/34163283 http://dx.doi.org/10.2147/POR.S303453 Text en © 2021 Martin et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Martin, Carolyn
Koep, Eleena
White, John
Belland, Angela
Waters, Heidi
Forma, Felicia
Treatment Compliance Communications Between Patients with Severe Mental Illness and Treating Healthcare Providers: A Retrospective Study of Documentation Using Healthcare Reimbursement Claims and Medical Chart Abstraction
title Treatment Compliance Communications Between Patients with Severe Mental Illness and Treating Healthcare Providers: A Retrospective Study of Documentation Using Healthcare Reimbursement Claims and Medical Chart Abstraction
title_full Treatment Compliance Communications Between Patients with Severe Mental Illness and Treating Healthcare Providers: A Retrospective Study of Documentation Using Healthcare Reimbursement Claims and Medical Chart Abstraction
title_fullStr Treatment Compliance Communications Between Patients with Severe Mental Illness and Treating Healthcare Providers: A Retrospective Study of Documentation Using Healthcare Reimbursement Claims and Medical Chart Abstraction
title_full_unstemmed Treatment Compliance Communications Between Patients with Severe Mental Illness and Treating Healthcare Providers: A Retrospective Study of Documentation Using Healthcare Reimbursement Claims and Medical Chart Abstraction
title_short Treatment Compliance Communications Between Patients with Severe Mental Illness and Treating Healthcare Providers: A Retrospective Study of Documentation Using Healthcare Reimbursement Claims and Medical Chart Abstraction
title_sort treatment compliance communications between patients with severe mental illness and treating healthcare providers: a retrospective study of documentation using healthcare reimbursement claims and medical chart abstraction
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8214573/
https://www.ncbi.nlm.nih.gov/pubmed/34163283
http://dx.doi.org/10.2147/POR.S303453
work_keys_str_mv AT martincarolyn treatmentcompliancecommunicationsbetweenpatientswithseverementalillnessandtreatinghealthcareprovidersaretrospectivestudyofdocumentationusinghealthcarereimbursementclaimsandmedicalchartabstraction
AT koepeleena treatmentcompliancecommunicationsbetweenpatientswithseverementalillnessandtreatinghealthcareprovidersaretrospectivestudyofdocumentationusinghealthcarereimbursementclaimsandmedicalchartabstraction
AT whitejohn treatmentcompliancecommunicationsbetweenpatientswithseverementalillnessandtreatinghealthcareprovidersaretrospectivestudyofdocumentationusinghealthcarereimbursementclaimsandmedicalchartabstraction
AT bellandangela treatmentcompliancecommunicationsbetweenpatientswithseverementalillnessandtreatinghealthcareprovidersaretrospectivestudyofdocumentationusinghealthcarereimbursementclaimsandmedicalchartabstraction
AT watersheidi treatmentcompliancecommunicationsbetweenpatientswithseverementalillnessandtreatinghealthcareprovidersaretrospectivestudyofdocumentationusinghealthcarereimbursementclaimsandmedicalchartabstraction
AT formafelicia treatmentcompliancecommunicationsbetweenpatientswithseverementalillnessandtreatinghealthcareprovidersaretrospectivestudyofdocumentationusinghealthcarereimbursementclaimsandmedicalchartabstraction