在初级保健中综合行为健康实施和培训:基于实践的研究网络研究研究
Melissa K Filippi1, Jeanette A Waxmonsky2, Mark D Williams2
1From the American Academy of Family Physicians National Research Network, American Academy of Family Physicians, Leawood, KS (MKF, ER, CMH); Robert Graham Center for Policy Studies in Family Medicine and Primary Care, Washington, DC (MKF); Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO (JAW); Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota (MDW); Department of Family and Community Medicine, The Ohio State University Wexner Medical Center, Columbus, OH (CD); University of Colorado Anschutz, Aurora, CO (AN). mfilippi@aafp.org).
在家庭医疗住院的综合行为健康 (IBH) 培训有很大差异. 标准化资源,培训和补偿对于可持续的,高质量的IBH实施至关重要.
科学领域:
- 主要护理医学 医疗保健
- 行为健康整合行为健康整合
- 医学教育 医学教育
背景情况:
- 将行为健康服务纳入初级保健 (IBH) 是基于证据的.
- 在初级保健培训计划中,IBH的纳入并没有得到很好的描述.
研究的目的:
- 评估在家庭医学 (FM) 住院计划中成功实施IBH的因素.
- 在FM住院课程中评估IBH的领导者观点.
主要方法:
- 从美国家庭医生学院国家研究网络招募了14个FM住院项目.
- 管理综合实践评估工具 (IPAT) 调查问卷.
- 采访了41名关键工作人员 (医疗主任,行为健康专业人员,首席医疗官).
主要成果:
- IBH的实施和培训在各个项目之间有很大的差异.
- 大多数参与者将IBH视为标准实践,并强调了沟通/协作.
- 空间,员工和计费支持被确定为可持续发展的关键.
结论:
- 尽管有公认的好处,但IBH交付和培训存在很大差异.
- 标准化资源,培训和补偿是可持续,高质量的IBH的关键.
- 简化报销流程可以促进IBH的可持续性.
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