Implications of Mental Health Comorbidity and Rural Residence for Health Care Use Patterns of Individuals with Chronic Disease

Research center:
Lead researcher:
Contact:
David Hartley, PhD, MHA, 207.780.4430
Project funded:
September 2012
Project completed:
May 2014
This study will use the 2005-2010 MEPS to compare the prevalence of concurrent mental health and cardiometabolic illnesses across rural and urban populations and to describe relationships among comorbidity, residence, and health care utilization. Multivariate models will be employed to determine whether and how the effects of rural residence and psychiatric comorbidity interact to influence the health use patterns of adults with cardiometabolic disease.

Research findings indicate that patients with comorbid psychiatric and cardio-metabolic conditions experience worse health care access and outcomes than those with either condition alone, and that service models integrating behavioral health and primary care can help to reduce these disparities. Given recent private and public sector interest in behavioral health/primary care integration this project will provide critical information to policymakers, health plans, health care providers, and community organizations about the needs of this dually vulnerable population. More specifically, the study will indicate whether rural populations with comorbidities are at higher risk for access problems, and whether they should therefore be prioritized in public and private efforts to promote mental health/primary care integration.

Publications