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Competencies for engaging high-needs patients in primary care.

Michael J Yedidia1

  • 1Center for State Health Policy, Rutgers University, 112 Paterson Street, 5th Floor, New Brunswick, NJ 08901, United States.

Healthcare (Amsterdam, Netherlands)
|December 9, 2017
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Summary

Essential competencies are key for high-needs patients. Training providers in skills like motivational interviewing and trauma-informed care improves engagement and health outcomes for complex populations.

Keywords:
Patient engagementPrimary careQualitative researchSocial determinantsVulnerable populations

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Area of Science:

  • Healthcare delivery
  • Complex care models
  • Primary care integration

Background:

  • High-utilizing patients often have multifaceted medical, behavioral, and social needs.
  • Effective care coordination across sectors is crucial for this population.
  • Primary care plays a vital role in managing complex patient needs.

Purpose of the Study:

  • Identify essential provider competencies for high-needs patients.
  • Highlight the importance of these competencies in primary care.
  • Improve care delivery for complex populations.

Main Methods:

  • Qualitative analysis of interviews with staff from 23 US complex care programs.
  • Programs served patients with chronic conditions, mental illness, substance use, poverty, and homelessness.
  • Diverse program models integrating primary care were studied.

Main Results:

  • Key competencies include motivational interviewing, trauma-informed care, and harm reduction.
  • Empathy development through patient experience simulations is beneficial.
  • Withholding judgment and addressing patient passivity foster open communication.

Conclusions:

  • Lack of specific provider training for complex needs hinders patient engagement.
  • Sub-optimal outcomes can result from inadequate provider competencies.
  • Targeted training is essential for successful complex care programs.