Research Topics
| John FortneySummaryAffiliation: University of Arkansas for Medical Sciences Country: USA Publications
Research Grants
| Collaborators
|
Detail Information
Publications
Geographical access and the substitution of traditional healing for biomedical services in 2 American Indian tribesJohn C Fortney
South Central Mental Illness Education and Clinical Center MIRECC and Health Services Research and Development HSR and D, Center for Mental Health and Outcomes Research, Central Arkansas Veterans Healthcare System, North Little Rock, Arkansas, USA
Med Care 50:877-84. 2012....- Utilization and expenditures of veterans obtaining primary care in community clinics and VA medical centers: an observational cohort studyMatthew L Maciejewski
Center for Health Services Research in Primary Care, Durham VA Medical Center, Department of Veterans Affairs, Durham, NC, USA
BMC Health Serv Res 7:56. 2007..To compare VA inpatient and outpatient utilization and expenditures of veterans seeking primary care in community-based outpatient clinics (CBOCs) and VA medical centers (VAMCs) in fiscal years 2000 (FY00) and 2001... 
Factors associated with perceived stigma for alcohol use and treatment among at-risk drinkersJohn Fortney
J Behav Health Serv Res 31:418-29. 2004..Rural at-risk drinkers were more likely to perceive a lack of privacy in primary care...- Does improving geographic access to VA primary care services impact patients' patterns of utilization and costs?John C Fortney
Health Services Research and Development, Center for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Healthcare System, North Little Rock, AR 72114 1708, USA
Inquiry 42:29-42. 2005..While CBOCs improved veterans' access, they had little impact on overall patterns of utilization and cost... - Design and implementation of the telemedicine-enhanced antidepressant management studyJohn C Fortney
VA Health Services Research and Development, HSR and D, Center for Mental Health and Outcomes Research, Central Arkansas Veterans Healthcare System, North Little Rock, 72114, USA
Gen Hosp Psychiatry 28:18-26. 2006..The purpose of this paper is to describe the TEAM study design... - Differences between physical and behavioral health benefits in the health plans of at-risk drinkersJohn C Fortney
Department of Veterans Affairs Health Services Research and Development Center for Healthcare and Outcomes Research, Little Rock, Arkansas, USA
Psychiatr Serv 54:97-102. 2003..The goal of this study was to describe the physical and behavioral health benefits of a representative community-based sample of at-risk drinkers potentially in need of behavioral health services... 
The association between rural residence and the use, type, and quality of depression careJohn C Fortney
South Central Mental Illness Education and Clinical Center MIRECC and Health Services Research and Development HSR and D, Center for Mental Health and Outcomes Research, Central Arkansas Veterans Healthcare System, North Little Rock, Arkansas, USA
J Rural Health 26:205-13. 2010..To assess the association between rurality and depression care...- Community-level correlates of hospitalizations for persons with schizophreniaJohn C Fortney
Department of Veterans Affairs South Central Mental Illness Research, Education and Clinical Center, North Little Rock, Arkansas, USA
Psychiatr Serv 60:772-8. 2009..This study identified community-level correlates of hospitalization for persons with schizophrenia and identified counties with high hospitalization rates... - Steps for implementing collaborative care programs for depressionJohn C Fortney
Health Services Research and Development HSR and D, Central Arkansas Veterans Healthcare System, North Little Rock, Arkansas 72114, USA
Popul Health Manag 12:69-79. 2009..These implementation tools should help clinicians and administrators develop informed strategies for rolling out collaborative care models for depression... - Community-level risk factors for depression hospitalizationsJohn Fortney
Health Services Research and Development, Center for Mental Health and Outcomes Research, Central Arkansas Veterans Healthcare System, North Little Rock, AR, USA
Adm Policy Ment Health 34:343-52. 2007..Significant risk factors included unemployment, poverty, physician supply, and hospital bed supply. Significant protective factors included rurality, economic dependence, and housing stress... - Patterns of substance abuse treatment seeking following cocaine-related emergency department visitsJohn C Fortney
VA Mental Illness Research, Education, and Clinical Center, 2200 Fort Roots Drive, North Little Rock, AR 72114, USA
J Behav Health Serv Res 38:221-33. 2011..63, CI(95) = 0.47-0.85, p < 0.01). ED visits for cocaine-related chest pain represent missed opportunities to link patients to substance abuse treatment, and interventions are needed to motivate patients to seek care... - A randomized trial of telemedicine-based collaborative care for depressionJohn C Fortney
VA Health Services Research and Development, Center for Mental Healthcare and Outcomes Research 152 NLR, Central Arkansas Veterans Healthcare System, 2200 Fort Roots Drive, North Little Rock, AR 72114, USA
J Gen Intern Med 22:1086-93. 2007..Implementing practice-based collaborative care for depression in smaller primary care clinics presents unique challenges because it is often not feasible to employ on-site psychiatrists... - VA community-based outpatient clinics: access and utilization performance measuresJohn C Fortney
Health Services Research and Development, Center for Mental Health and Outcomes Research, Central Arkansas Veterans Healthcare System, North Little Rock, Arkansas 72114 1706, USA
Med Care 40:561-9. 2002.... - A re-conceptualization of access for 21st century healthcareJohn C Fortney
Health Services Research and Development HSR and D, Center for Mental Health and Outcomes Research, Central Arkansas Veterans Healthcare System, 2200 Fort Roots Drive, North Little Rock, AR 72114, USA
J Gen Intern Med 26:639-47. 2011.... - A budget impact analysis of telemedicine-based collaborative care for depressionJohn C Fortney
Health Services Research and Development, Central Arkansas Veterans Healthcare System, North Little Rock, AR 27114, USA
Med Care 49:872-80. 2011..The objective of this budget impact analysis was to examine patterns of utilization and cost associated with telemedicine-based collaborative care, an intervention that targets patients treated in small rural primary care clinics... - Relationship between antidepressant medication possession and treatment responseJohn C Fortney
VA South Central Mental Illness Education and Clinic Center MIRECC, Central Arkansas Veterans Healthcare System, North Little Rock, AR, USA
Gen Hosp Psychiatry 32:377-9. 2010..To estimate the correlation between antidepressant medication possession ratios (MPR) measured from administrative pharmacy data and changes in self-reported depression symptoms... - A Web-based clinical decision support system for depression care managementJohn C Fortney
HSR and D Center for Mental Health and Outcomes Research, Central Arkansas Veterans Healthcare System, North Little Rock, AR, USA
Am J Manag Care 16:849-54. 2010..To inform the design of future informatics systems that support the chronic care model... - Rural-urban differences in health care benefits of a community-based sample of at-risk drinkersJohn C Fortney
VA HSR and D Center for Healthcare and Outcomes Research, Central Arkansas Veterans Healthcare System, USA
J Rural Health 19:292-8. 2003..Different types of health plan cost-containment strategies (eg, gatekeeping, selective contracting, and cost-sharing) may affect the utilization of behavioral health services differently in urban and rural areas... - Reasons for antidepressant nonadherence among veterans treated in primary care clinicsJohn C Fortney
VA HSR and D Center for Mental Health Outcomes and Research 152 NLR, Little Rock VA Medical Center, 2200 Fort Roots Dr, North Little Rock, AR 72114, USA
J Clin Psychiatry 72:827-34. 2011..To examine the experiences of veterans (mostly middle-aged and elderly men) prescribed antidepressants, specifically with regard to different types of nonadherence, reasons for nonadherence, and side effects... - Does minority racial-ethnic status moderate outcomes of collaborative care for depression?Teri D Davis
South Central Mental Illness Research, Education, and Clinical Center, Central Arkansas Veterans Healthcare System, North Little Rock, AR 72204, USA
Psychiatr Serv 62:1282-8. 2011..The authors examined racial differences in response rates to an intervention involving collaborative care and usual care among 360 veterans treated for depression at Department of Veterans Affairs community-based primary care clinics... - One size fits some: the impact of patient treatment attitudes on the cost-effectiveness of a depression primary-care interventionJeffrey M Pyne
VA HSRD Center for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Healthcare System, Little Rock, AR 72114 1706, USA
Psychol Med 35:839-54. 2005..This study estimated the impact of patient receptivity to antidepressant medication on the cost-effectiveness of an evidence-based primary-care depression intervention... - Time allocation and caseload capacity in telephone depression care managementChuan Fen Liu
VA Puget Sound Health Care System, Health Services Research and Development, 1100 Olive Way, Ste 1400, Seattle WA 98101, USA
Am J Manag Care 13:652-60. 2007..To document time allocated to care management activities and care manager workload capacity using data collected for studies of telephone care management of depression... - Implementation outcomes of evidence-based quality improvement for depression in VA community based outpatient clinicsJohn Fortney
Health Services Research and Development, Central Arkansas Veterans Healthcare System, North Little Rock, AR, USA
Implement Sci 7:30. 2012..The objective of this study was to evaluate the effectiveness of evidence-based quality improvement (EBQI) as a strategy to facilitate the adoption of collaborative-care management in CBOCs... - Cost-effectiveness of a primary care depression interventionJeffrey M Pyne
HSRD Center for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Healthcare System, Little Rock, Arkansas 72114 1706, USA
J Gen Intern Med 18:432-41. 2003..To determine the incremental cost-effectiveness of a quality improvement depression intervention (enhanced care) in primary care settings relative to usual care... - Use of outpatient care in Veterans Health Administration and Medicare among veterans receiving primary care in community-based and hospital outpatient clinicsChuan Fen Liu
Northwest Center for Outcomes Research in Older Adults, Department of Veterans Affairs, HSR and D, VA Puget Sound Health Care System, 1100 Olive Way, Suite 1400, Seattle, WA 98101, USA
Health Serv Res 45:1268-86. 2010..To examine differences in use of Veterans Health Administration (VA) and Medicare outpatient services by VA primary care patients... - Evaluation of the Department of Veterans Affairs community-based outpatient clinicsMichael K Chapko
Health Services Research and Development, Northwest Center for Outcomes Research in Older Adults, VA Puget Sound Health Care System, Seattle, Washington 98108, USA
Med Care 40:555-60. 2002.... - Are primary care services a substitute or complement for specialty and inpatient services?John C Fortney
VA HSR and D CeMHOR 152 NLR, Central Arkansas Veterans Healthcare System, 2200 Fort Roots Drive, North Little Rock, AR 72114, USA
Health Serv Res 40:1422-42. 2005..To determine whether strategies designed to increase members' use of primary care services result in decreases (substitution) or increases (complementation) in the use and cost of other types of health services... - Cost-effectiveness of a primary care intervention for depressed femalesJeffrey M Pyne
Department of Psychiatry, Central Arkansas Veterans Healthcare System, 116F2 NLR, University of Arkansas for Medical Sciences, 2200 Fort Roots Drive, North Little Rock, AR 72114, USA
J Affect Disord 74:23-32. 2003..We conducted an exploratory cost-effectiveness analysis by gender of an intervention to improve recognition and guideline-concordant treatment of depression in primary care... - Depression-free day to utility-weighted score: is it valid?Jeffrey M Pyne
Center for Mental Health and Outcomes Research, Central Arkansas Veterans Healthcare System, University of Arkansas for Medical Sciences, Little Rock, Arkansas 72114, USA
Med Care 45:357-62. 2007..These formulas are based on linear extrapolation of data documenting the correlation between depression symptom severity and generic health-related quality of life... - VA community-based outpatient clinics: performance measures based on patient perceptions of careSteven J Borowsky
Health Services Research and Development, Center for Chronic Disease Outcomes Research, Minneapolis VAMC, Minneapolis, Minnesota 55416, USA
Med Care 40:578-86. 2002.... - VA community-based outpatient clinics: quality of care performance measuresAshley N Hedeen
Health Services Research and Development, Northwest Center for Outcomes Research in Older Adults, VA Puget Sound Health Care System, Seattle, Washington 98108, USA
Med Care 40:570-7. 2002..The Veterans Health Administration (VHA) recently initiated a system of Community-Based Outpatient Clinics (CBOCs) to enhance delivery of primary care to veterans... - Depressive disorders and alcohol dependence in a community populationJoAnn E Kirchner
VA HSR and D Center for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Healthcare System, North Little Rock 72114 1706, USA
Community Ment Health J 38:361-73. 2002..This lack of insurance for previously depressed persons calls for future work examining the potential influence of this barrier to access care on both clinical and functional outcomes... - Relationship between perceived stigma and depression severityJeffrey M Pyne
Veterans Administration Health Services Research and Development Center for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Healthcare System, 2200 Fort Roots Drive, Bldg 58, North Little Rock, AR 72114 1706, USA
J Nerv Ment Dis 192:278-83. 2004..001) and meeting criteria for current major depression (p <.001) were significant predictors of perceived stigma. Greater depression severity appears to be a strong predictor of perceived stigma... - Using a multi-level approach to implement a primary care mental health (PCMH) programJoann Kirchner
South Central Mental Illness Research, Education, and Clinical Center SCMIRECC, Central Arkansas Veterans Health Care System, North Little Rock, AR, USA
Fam Syst Health 28:161-74. 2010..Key stakeholders and researchers collaborated to propose and implement the program. Preliminary findings indicate that the program may reduce referrals to specialty mental health care... - Cost-effectiveness analysis of a rural telemedicine collaborative care intervention for depressionJeffrey M Pyne
Center for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Healthcare System, North Little Rock, AR 72114, USA
Arch Gen Psychiatry 67:812-21. 2010..Collaborative care interventions for depression in primary care settings are clinically beneficial and cost-effective. Most prior studies were conducted in urban settings... - Effectiveness of collaborative care for depression in human immunodeficiency virus clinicsJeffrey M Pyne
Center for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Healthcare System, and Educational Center and Psychiatric Research Institute, University of Arkansas for Medical Sciences, North Little Rock, Arkansas 72114, USA
Arch Intern Med 171:23-31. 2011..Depression is common among persons with the human immunodeficiency virus (HIV) and is associated with unfavorable outcomes... - The triple threat for chronic disease: obesity, race, and depressionTracy Stecker
Veterans Affairs Health Services Research and Development HRS and D Center for Mental Health and Outcomes Research, Central Arkansas Veterans Healthcare System, North Little Rock, AR 72114, USA
Psychosomatics 47:513-8. 2006..Also, these risk factors interacted to create an increased likelihood of disease prevalence. Thus, obesity, race, and depression interacted to create a "triple threat" of developing certain chronic diseases... - How bad is depression? Preference score estimates from depressed patients and the general populationJeffrey M Pyne
Psychiatric Research Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA
Health Serv Res 44:1406-23. 2009..To compare depression health state preference scores across four groups: (1) general population, (2) previous history of depression but not currently depressed, (3) less severe current depression, and (4) more severe current depression... - An assessment of beliefs about mental health care among veterans who served in IraqTracy Stecker
Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR 72114, USA
Psychiatr Serv 58:1358-61. 2007..This study assessed beliefs about mental health treatment in a group of soldiers newly returning from the war in Iraq... - How depression influences the receipt of primary care services among women: a propensity score analysisTracy Stecker
VA Health Services Research and Development HRS and D, Center for Mental Health and Outcomes Research, Central Arkansas Veterans Healthcare System, North Little Rock, Arkansas 72114, USA
J Womens Health (Larchmt) 16:198-205. 2007..This study investigated whether female primary care patients with depression were more or less likely to receive preventive/diagnostic tests... - Impact of comorbid anxiety disorders on health-related quality of life among patients with major depressive disorderDinesh Mittal
Health Services Research and Development Center for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Healthcare System, 2200 Fort Roots Drive, Building 58 152 NLR, Little Rock, AR 72114, USA
Psychiatr Serv 57:1731-7. 2006.... - Beliefs about depression and depression treatment among depressed veteransMark J Edlund
Division of Health Services Research, Department of Psychiatry, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas 72204, USA
Med Care 46:581-9. 2008..It is important to understand patients' beliefs about mental health disorders and mental health treatment to improve systems of care... - Measuring continuity of care for clients of public mental health systemsJohn Fortney
Centers for Mental Healthcare Research, Little Rock, AR 72204, USA
Health Serv Res 38:1157-75. 2003..The five continuity-of-care measures may be useful for identifying individuals at risk for poor outcomes and for evaluating the ability of public service systems to keep clients engaged in care over time... - Equivalence of two healthcare costing methods: bottom-up and top-downMichael K Chapko
Health Services Research and Development, VA Puget Sound Health Care System, Seattle, WA 98108, USA
Health Econ 18:1188-201. 2009..Administrators and researchers conducting cost analyses need to carefully consider the purpose, methods, characteristics, strengths, and weaknesses when selecting a method for assessing cost... - Challenges associated with being an off-site depression care managerBetty Ackerman
Center for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Healthcare System, Little Rock 72114, USA
J Psychosoc Nurs Ment Health Serv 47:43-9. 2009..Care management in the context of a distributed care team is becoming increasingly popular in health care systems... - The influence of comorbid chronic medical conditions on the adequacy of depression care for older AmericansJeffrey S Harman
Department of Health Services Research, Management and Policy, College of Public Health and Health Professions, University of Florida, Gainesville, Florida 32611, USA
J Am Geriatr Soc 53:2178-83. 2005..To assess the effect of the co-occurrence of four common chronic medical conditions (hypertension, diabetes mellitus, arthritis, heart disease) on the probability of receiving adequate depression treatment... - VA community-based outpatient clinics: cost performance measuresMatthew L Maciejewski
Northwest Center for Outcomes Research in Older Adults VA Puget Sound Health Care System, Seattle, Washington 98108, USA
Med Care 40:587-95. 2002..To examine the direct costs of treating veterans in Community-Based Outpatient Clinics (CBOC) and primary care clinics operated by VA medical centers (VAMCs) between April 1998 and September 1998... - Disparities in the adequacy of depression treatment in the United StatesJeffrey S Harman
Department of Health Services Research, Management, and Policy, College of Public Health and Health Professions, University of Florida, P O Box 100195, Gainesville, Florida 32611 0195, USA
Psychiatr Serv 55:1379-85. 2004..The purpose of this study was to assess whether observed disparities in treatment are due to differences in rates of treatment initiation or to differences in the quality of treatment once treatment has been initiated... - Outpatient visit chaining among patients with serious mental illnessJohn F McCarthy
Department of Veterans Affairs Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, MI 48113 0170, USA
Med Care 44:257-64. 2006..Unmeasured visit "chaining" may bias estimates of the impact of accessibility barriers when utilization volume is measured using visit days. No studies have evaluated differential encounter chaining by distance...
Research Grants
- Telemedicine-Based Collaborative Care to Reduce Rural Health DisparitiesJohn Fortney; Fiscal Year: 2007..This population is at high risk for experiencing health disparities and thus, interventions targeting this population have the potential to have a major impact. ..
- Telemedicine-Based Collaborative Care to Reduce Rural Health DisparitiesJohn Fortney; Fiscal Year: 2009..This population is at high risk for experiencing health disparities and thus, interventions targeting this population have the potential to have a major impact. ..
- Telemedicine-Based Collaborative Care to Reduce Rural Health DisparitiesJohn C Fortney; Fiscal Year: 2010..This population is at high risk for experiencing health disparities and thus, interventions targeting this population have the potential to have a major impact. ..