Behavioral Health Integration in Health Care Settings: Lessons Learned from a Pediatric Hospital Primary Care System

2017 ◽  
Vol 24 (3-4) ◽  
pp. 245-258 ◽  
Author(s):  
Leandra Godoy ◽  
Melissa Long ◽  
Donna Marschall ◽  
Stacy Hodgkinson ◽  
Brooke Bokor ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Behavioral Health ◽  
Lessons Learned ◽  
Pediatric Hospital ◽  
Primary Care System ◽  
Health Care Settings ◽  
Behavioral Health Integration ◽  
Care System

scholarly journals Costs of using evidence‐based implementation strategies for behavioral health integration in a large primary care system

2020 ◽  
Vol 55 (6) ◽  
pp. 913-923
Author(s):  
Kai Yeung ◽  
Julie Richards ◽  
Eric Goemer ◽  
Paula Lozano ◽  
Gwen Lapham ◽  
...  
Keyword(s):  
Primary Care ◽  
Behavioral Health ◽  
Implementation Strategies ◽  
Evidence Based ◽  
Primary Care System ◽  
Behavioral Health Integration ◽  
Large Primary ◽  
Care System

Primary Care Behavioral Health Integration for Anxiety Management in a Safety-Net Health Care System

2020 ◽  
Vol 31 (2) ◽  
pp. 569-581 ◽  
Author(s):  
Ranjani K. Paradise ◽  
Karen E. Finnegan ◽  
Blessing Dube ◽  
Leah Zallman ◽  
Emily Benedetto ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Behavioral Health ◽  
Health Care System ◽  
Safety Net ◽  
Anxiety Management ◽  
Primary Care Behavioral Health ◽  
Behavioral Health Integration ◽  
Care System

Does behavioral health integration improve primary care providers' perceptions of health-care system functioning and their own knowledge?

2017 ◽  
Vol 46 ◽  
pp. 88-93 ◽  
Author(s):  
Leah Zallman ◽  
Robert Joseph ◽  
Colleen O'Brien ◽  
Emily Benedetto ◽  
Ellie Grossman ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Behavioral Health ◽  
Health Care System ◽  
Primary Care Providers ◽  
Care Providers ◽  
Behavioral Health Integration ◽  
System Functioning ◽  
Care System

Implementation of Behavioral Health Integration in Small Primary Care Settings: Lessons Learned and Future Directions

2021 ◽  
Author(s):  
Matthew L. Goldman ◽  
Ekaterina Smali ◽  
Talia Richkin ◽  
Harold Alan Pincus ◽  
Henry Chung
Keyword(s):  
Primary Care ◽  
Behavioral Health ◽  
Lessons Learned ◽  
Future Directions ◽  
Behavioral Health Integration ◽  
Primary Care Settings ◽  
Small Primary

The Education of Pediatricians for Primary Care: The Score After Two Score Years

PEDIATRICS ◽  
1995 ◽  
Vol 95 (2) ◽  
pp. 270-272
Author(s):  
Evan Charney
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Care System ◽  
Medical Profession ◽  
Primary Care System ◽  
Educational Structure ◽  
Task Forces ◽  
Do So ◽  
Care System

In a 1973 monograph on the education of physicians for primary care, Joel Alpert and I wrote, "There are two interrelated and serious problems in our present educational structure—not enough physicians enter primary care and those who do so are not adequately prepared for the job."1 Twenty years and many task forces and exhortatory editorials later, much the same could be said. But that conclusion would not be entirely fair: changes have indeed occurred in the subsequent two score years. There is now clear consensus that a strong primary care system should be the linchpin of our nation's health care system, with 50 to 60% of physicians as generalists, 2,3 and the medical profession has at least professed to agree with that strategy.4

scholarly journals A Primary Care System to Improve Health Care Efficiency: Lessons from Ecuador

2017 ◽  
Vol 30 (3) ◽  
pp. 380-383 ◽  
Author(s):  
Sommer Aldulaimi ◽  
Francisco E. Mora
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Care System ◽  
Improve Health Care ◽  
Health Care Efficiency ◽  
Improve Health ◽  
Care System

scholarly journals Practical Approaches for Achieving Integrated Behavioral Health Care in Primary Care Settings

2016 ◽  
Vol 32 (2) ◽  
pp. 117-121 ◽  
Author(s):  
Anna Ratzliff ◽  
Kathryn E. Phillips ◽  
Jonathan R. Sugarman ◽  
Jürgen Unützer ◽  
Edward H. Wagner
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Behavioral Health ◽  
National Policy ◽  
Behavioral Health Care ◽  
Safety Net ◽  
Patient Centered ◽  
Integrated Behavioral Health ◽  
Behavioral Health Integration ◽  
Primary Care Settings

Behavioral health problems are common, yet most patients do not receive effective treatment in primary care settings. Despite availability of effective models for integrating behavioral health care in primary care settings, uptake has been slow. The Behavioral Health Integration Implementation Guide provides practical guidance for adapting and implementing effective integrated behavioral health care into patient-centered medical homes. The authors gathered input from stakeholders involved in behavioral health integration efforts: safety net providers, subject matter experts in primary care and behavioral health, a behavioral health patient and peer specialist, and state and national policy makers. Stakeholder input informed development of the Behavioral Health Integration Implementation Guide and the GROW Pathway Planning Worksheet. The Behavioral Health Integration Implementation Guide is model neutral and allows organizations to take meaningful steps toward providing integrated care that achieves access and accountability.

scholarly journals Integrating Behavioral Health and Primary Care (IBH-PC) to improve patient-centered outcomes in adults with multiple chronic medical and behavioral health conditions: study protocol for a pragmatic cluster-randomized control trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Abigail M. Crocker ◽  
Rodger Kessler ◽  
Constance van Eeghen ◽  
Levi N. Bonnell ◽  
Ryan E. Breshears ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Behavioral Health ◽  
Behavioral Health Care ◽  
Health Conditions ◽  
Patient Centered ◽  
Practice Level ◽  
Behavioral Health Integration ◽  
Care Practices ◽  
Primary Care Practices

Abstract Background Chronic diseases that drive morbidity, mortality, and health care costs are largely influenced by human behavior. Behavioral health conditions such as anxiety, depression, and substance use disorders can often be effectively managed. The majority of patients in need of behavioral health care are seen in primary care, which often has difficulty responding. Some primary care practices are providing integrated behavioral health care (IBH), where primary care and behavioral health providers work together, in one location, using a team-based approach. Research suggests there may be an association between IBH and improved patient outcomes. However, it is often difficult for practices to achieve high levels of integration. The Integrating Behavioral Health and Primary Care study responds to this need by testing the effectiveness of a comprehensive practice-level intervention designed to improve outcomes in patients with multiple chronic medical and behavioral health conditions by increasing the practice’s degree of behavioral health integration. Methods Forty-five primary care practices, with existing onsite behavioral health care, will be recruited for this study. Forty-three practices will be randomized to the intervention or usual care arm, while 2 practices will be considered “Vanguard” (pilot) practices for developing the intervention. The intervention is a 24-month supported practice change process including an online curriculum, a practice redesign and implementation workbook, remote quality improvement coaching services, and an online learning community. Each practice’s degree of behavioral health integration will be measured using the Practice Integration Profile. Approximately 75 patients with both chronic medical and behavioral health conditions from each practice will be asked to complete a series of surveys to measure patient-centered outcomes. Change in practice degree of behavioral health integration and patient-centered outcomes will be compared between the two groups. Practice-level case studies will be conducted to better understand the contextual factors influencing integration. Discussion As primary care practices are encouraged to provide IBH services, evidence-based interventions to increase practice integration will be needed. This study will demonstrate the effectiveness of one such intervention in a pragmatic, real-world setting. Trial registration ClinicalTrials.gov NCT02868983. Registered on August 16, 2016.

scholarly journals Implementation of the e-SUS Primary Care system: Impact on the routine of Primary Health Care professionals

2021 ◽  
Vol 29 ◽  
Author(s):  
Tatiele Estefâni Schönholzer ◽  
Ione Carvalho Pinto ◽  
Fabiana Costa Machado Zacharias ◽  
Rodrigo André Cuevas Gaete ◽  
Maria Del Pilar Serrano-Gallardo
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Health Care Professionals ◽  
Daily Life ◽  
Primary Care System ◽  
Structured Interviews ◽  
Learning Mechanisms ◽  
Primary Health ◽  
Care System

Objective: to understand how the implementation of the e-SUS Primary Care system has been processed and its impact on the daily life of the health teams. Method: a qualitative research study, conducted in a municipality in the inland of the state of São Paulo with professionals who work in Primary Health Care and use the e-SUS Primary Care system as a work tool. Semi-structured interviews and thematic data analysis were used with Kotter’s three-phase approach. Results: a total of 17 professionals, nurses, physicians, dentists and community agents were interviewed. The implementation of e-SUS Primary Care and its impact on the daily life of health teams were understood in terms of mandatory implementation; weaknesses for implementation, such as absence of material resources and implicit imposition for the use of the system; fragile training for deployment and learning from experience. Conclusion: a harmful incentive process was observed, conducted from the perspective of institutional pressure, use of the system to justify the work performed and, on the other hand, there was the creation of collaborative learning mechanisms between the teams.

scholarly journals Clinical and regulatory protocol for the treatment of jaundice in adults and elderly subjects: a support for the health care network and regulatory system

2008 ◽  
Vol 23 (suppl 1) ◽  
pp. 133-142 ◽  
Author(s):  
José Sebastião dos Santos ◽  
Rafael Kemp ◽  
Ajith Kumar Sankarankutty ◽  
Wilson Salgado Júnior ◽  
Fernanda Fernandes Souza ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Care System ◽  
Regulatory System ◽  
Elderly Subjects ◽  
Health Care Settings ◽  
Care Network ◽  
Health Care Network ◽  
Primary Care Practitioners ◽  
Care System

PURPOSE: Clinical interventions and controlled access to the health care system can be improved by a Regulatory System (RS) and Clinical and Regulatory Protocols (CRPs). The objective of the present paper is to present the methodology used for elaborating the CRPs. METHODS: The process used to elaborate the CPRs involved a scientific co-operation between university and health care system. Workshops were held and attended by primary care practitioners, RS team, and matrix team (university specialists supporting primary care practitioners). RESULTS: The treatment of jaundice in adults and elderly subjects is amongst the themes selected for elaborating the CRPs since jaundice is a medical sign frequently seen in four clinical scenarios involving distinctive diagnostic and therapeutic interventions which can be performed in different health care settings. Evaluation guidelines as well as the clinical and regulatory procedures were established for different health care settings. The most relevant clinical and regulatory interventions were expressed as algorithms in order to facilitate the use of CRPs by health care practitioners. CONCLUSION: It is expected that the implementation of this protocol will minimise the imbalance between the icteric patients' needs and the treatment modalities being offered, thus contributing to a more co-operative health care network.

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