通过综合初级保健增加行为健康护理的获取和利用
Cody Hostutler1,2, Noelle Wolf1,2, Tyanna Snider1,2
1Department of Pediatric Psychology and Neuropsychology.
Pediatrics
|November 16, 2023
概括
将心理学家整合到初级保健中,显著提高了143%的行为健康 (BH) 使用率,并改善了访问. 这种以团队为基础的模型增强了医院内的患者护理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 主要护理医学 医疗保健
- 心理健康整合精神健康整合
背景情况:
- 获得和利用行为健康 (BH) 服务仍然是初级保健机构面临的关键挑战.
- 将BH专业人员纳入初级保健是改善患者结果的建议解决方案.
- 评估综合心理学家对BH服务获取和利用的影响至关重要.
研究的目的:
- 评估心理学家融入初级保健诊所后,行为健康服务获取和利用的变化.
- 为了比较这些变化集成诊所与非集成诊所在一个学术卫生系统.
主要方法:
- 四个初级保健诊所与心理学家相结合;四个没有.
- 访问的代理是BH服务的中位等待时间.
- BH利用率被定义为初级保健访问的百分比,导致在180天内与BH临床医生接触.
- 差异差异分析比较了整合前和后的时期 (2015-2018年).
主要成果:
- 在集成诊所中,BH使用率增加了143%,而非集成诊所的使用率为12%.
- 与非集成诊所 (48.3天) 相比,集成诊所的BH服务等待时间显著减少 (11.4天).
- 在综合诊所中,利用外部专业BH服务的比例下降,这表明成功的内部护理.
结论:
- 一个以团队为基础的整合模型有效地提高了行为健康利用率和初级保健中的获取.
- 将心理学家整合到初级保健中,可以提高心理健康服务的提供.
- 该模型展示了一种成功的策略,用于改善综合患者护理.
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