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Patient Perspectives of Integrated Behavioral Health in Primary Care: A Mixed Methods Analysis
Dennis Gurfinkel1, Vanessa Owen2, Carlee Kreisel2
1Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS), University of Colorado and Children's Hospital Colorado, Anschutz Medical Campus, Aurora, CO, USA.
Integrated care models improve patient outcomes and satisfaction by bringing mental health providers into primary care settings. Patient feedback emphasizes access, team-based care, and telehealth as key to successful integrated mental healthcare.
Area of Science:
- Health Services Research
- Primary Care Medicine
- Mental Health Services
Background:
- Integrated care models align with the quadruple aim: improving health outcomes, patient satisfaction, provider experience, and reducing costs.
- These models facilitate collaboration between mental/behavioral health providers and primary care providers within a primary care setting.
Purpose of the Study:
- To describe patients' general perspectives on integrated care.
- To explore patients' unique experiences accessing integrated care within a specific health system.
Main Methods:
- Employed mixed-methods approach combining qualitative interviews and quantitative surveys with patients.
- Analyzed qualitative and quantitative data separately and then integrated the findings.
Main Results:
- Patients highlighted the significance of accessibility and their experiences navigating integrated care services.
- Key themes included the value of whole-person care, team-based approaches, and the appropriate use of telehealth.
- Patients also provided suggestions for scheduling, service utilization, and connecting to longer-term mental health support.
Conclusions:
- Patient perspectives are crucial for optimizing integrated care delivery.
- Enhancing access, team collaboration, and telehealth are vital for patient-centered integrated mental healthcare.
- Understanding patient experiences can inform system improvements for ongoing mental health support.
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