Community responses to diabetes and mental health care for the uninsured population in Michigan.

Abstract:

OBJECTIVE:To examine how the safety net in Michigan is responding to the health care needs of their uninsured population with diabetes and/or mental illness. METHODS:We used a multiple-site case study design. Data were collected through interviews of key informants in five Michigan communities. Analytic patterns and themes were identified, and compared across communities and by organizational type. RESULTS:Informants reported they are managing to meet the needs of uninsured diabetics but are having great difficulty caring for the uninsured with mental illness. Specialty care for diabetes is obtainable, but is resource-intensive. Mental health services available for uninsured patients are severely limited. The presence of a county health plan (CHP) appears insufficient to improve access, especially to mental health services. CONCLUSIONS:The safety net for Michigan's uninsured population with diabetes and mental illness is weak. Processes including referrals and care coordination are of poor quality in some communities. The value of integrating mental health services into primary care should be examined.

authors

Dalton VK,Jacobson PD,Konig M,Holman PP Jr

doi

10.1353/hpu.0.0100

subject

Has Abstract

pub_date

2009-02-01 00:00:00

pages

98-106

issue

1

eissn

1049-2089

issn

1548-6869

pii

S1548686908100122

journal_volume

20

pub_type

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