Mental health and chemical dependency services at US transplant centers

Shehzad K Niazi, Aaron Spaulding, Emily Vargas, Terry Schneekloth, Julia Crook, Teresa Anne Rummans, C. Burcin Taner

Research output: Contribution to journalArticlepeer-review

Abstract

The purpose of this study was to assess the availability of mental health (MH) and chemical dependency (CD) services at US transplant centers, because appropriate psychosocial assessment and care is associated with better transplant outcomes. We used the 2017-2018 American Hospital Association survey, Area Health Resource File, and Centers for Medicare & Medicaid Services Hospital Compare databases to quantify availability of services and examined associations of hospital- and health services area-level characteristics with odds of offering services with generalized linear mixed models. We found that 15% of transplant centers did not offer MH services and 62% did not offer CD services. Hospitals were more likely to offer MH services if they were larger (OR [95% CI]: 1.03 [1.01, 1.06]) and had a lower rate of uninsured patients in the health services area (OR [95% CI]: 0.89 [0.80, 0.99]) and were more likely to offer CD services if they were larger (OR [95% CI]: 1.02 [1.01, 1.03]) or were members of a system (OR [95% CI]: 2.31 [1.26, 4.24]). Additional research is needed to understand whether lack of MH or CD services at transplant centers affects patients’ ability to access comprehensive psychosocial care and whether this affects patient outcomes.

Original languageEnglish (US)
Pages (from-to)1152-1161
Number of pages10
JournalAmerican Journal of Transplantation
Volume20
Issue number4
DOIs
StatePublished - Apr 1 2020

Keywords

  • ethics and public policy
  • health services and outcomes research
  • mental health
  • organ transplantation in general
  • quality of care/care delivery
  • quality of life

ASJC Scopus subject areas

  • Immunology and Allergy
  • Transplantation
  • Pharmacology (medical)

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