In a large integrated health delivery system with an active clinical trials program, oncologists' participation in clinical trials was quite variable. Oncologist values, beliefs, and awareness of clinical trials play an important role in accrual.
This article describes the process of the merger of two mental health agencies with a primary care physical health provider to establish within the merged structure an integrated behavioral and physical health delivery system. The purpose of this article is to share our experience with those administrators and staff of agencies planning an integration initiative of behavioral and physical health services.
North Carolina’s Behavioral Health Delivery System: A Historical Perspective