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Published on: August 1, 2019
Medical provider satisfaction with integrated care in a pediatric gastroenterology clinic
Linda M Nicolotti1, Aubry N Koehler2, Elimarie Caballero Quinones1
1Department of Pediatrics, Wake Forest School of Medicine.
Insights
Medical providers in pediatric gastroenterology clinics reported high satisfaction with integrated behavioral health care services. They prefer embedded care and desire expanded services, including more embedded psychologists and electronic screening tools.
Area of Science:
- Pediatric subspecialty care
- Behavioral health integrated care
- Medical provider satisfaction
Background:
- Integrated care (IC) in pediatric primary care shows benefits.
- Pediatric subspecialty care involves complex patients needing more IC.
- Medical provider satisfaction (MPS) is key for IC utilization.
Purpose of the Study:
- To examine MPS with behavioral health (BH) IC services.
- Focus on a pediatric gastroenterology clinic setting.
Main Methods:
- Eight pediatric gastroenterology providers surveyed.
- Used a 32-item satisfaction survey.
- Descriptive statistics analyzed satisfaction data.
Main Results:
- High MPS reported with existing IC services.
- Preference for embedded over colocated IC.
- Perceived benefits and importance of BH IC; desire for expansion.
Conclusions:
- Findings align with primary care IC research.
- Preference for embedded BH services noted.
- This study is a step toward understanding MPS in pediatric subspecialty care.
Introduction:
Benefits of behavioral health (BH) integrated care (IC) in pediatric primary care have been demonstrated (Asarnow et al., 2015). Pediatric subspecialty care treats patients with high levels of medical and psychosocial vulnerability and complexity (Samsel et al., 2017), underscoring the need for increased IC. Medical provider satisfaction (MPS) with IC is highly relevant for the utilization and expansion of these services. The purpose of this preliminary study was to examine MPS related to BH IC services in a pediatric gastroenterology clinic.
Method:
Eight pediatric gastroenterology providers working in an outpatient clinic completed a 32-item survey (adapted from Corso et al., 2016) assessing their satisfaction with integrated BH care services. Descriptive statistics were utilized to examine and summarize provider satisfaction data.
Results:
Pediatric gastroenterology medical providers reported high levels of satisfaction with existing IC services and a preference for embedded versus colocated IC. They perceived provider-related and clinical benefits of IC, felt that addressing BH issues is important, and believed IC is a valued service. Medical providers expressed that they wanted expanded IC services, including an embedded psychologist at more locations, BH screenings for younger patients, and an electronic psychosocial screening process.
Discussion:
The results of this study align with research findings regarding high medical provider satisfaction with IC in primary care and a preference for embedded BH services (Asarnow et al., 2015). While this preliminary study is small in scale, it is an important initial step to better understand MPS with IC in pediatric subspecialty care. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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