Integrated primary care-behavioral health program development and implementation in a rural context
作者机构：Department of PsychologyUniversity of Alaska FairbanksFairbanksAKUSA
出 版 物：《Family Medicine and Community Health》 (家庭医学与社区卫生（英文）)
年 卷 期：2018年第6卷第3期
页 面：131-141页
学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 1001[医学-基础医学(可授医学、理学学位)] 100214[医学-肿瘤学] 10[医学]
主 题：Integrated healthcare primary care behavioral health program development rural healthcare
摘 要：Objective:Despite the known benefits of integrated primary care and behavioral health services,integrated behavioral health services have not been readily used in medical clinics in interior *** minimal resources,we recently developed an integrated primary care-behavioral health program in a medical clinic in interior Alaska to meet clinic and community *** objective of this study was to explore initial program outcomes and determine the feasibility of program development and ***:We initially conducted a needs assessment for integrating behavioral health services into primary *** development was informed by specific clinic *** program implementation,initial program outcomes were tracked with use of data from the electronic health record and patient and provider use and satisfaction *** level of integration of primary care and behavioral health services was evaluated with the Practice Integration ***:A total of 188 patients were seen by behavioral health consultants during the initial pilot phase,including 44.0%referred for mental health symptoms,33.1%referred for physical health issues,and 22.3%referred for both mental and physical health *** initial program outcomes indicate modest clinical improvement(measured by the nine-item Patient Health Questionnaire)as well as patient and provider satisfaction with the model,and a moderate level of practice ***:On the basis of the initial findings,it appears that our integrated primary care-behavioral health program has the potential to serve an important role in addressing the behavioral health needs of the local *** implementation procedure and initial program outcomes suggest that such models are feasible in rural and small-scale settings with minimal overhead costs.
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