干预阶段完成和行为健康结果:综合行为健康和初级保健随机实证试验
Kari A Stephens1, Constance van Eeghen2, Zihan Zheng3
1Department of Family Medicine, University of Washington, Seattle, Washington kstephen@uw.edu.
灵活的实践转型干预改善了初级保健中的行为健康整合,但没有直接影响患者的健康结果. 该研究强调了适应性干预对复杂患者群体的潜力.
科学领域:
- 初级保健研究研究初级保健研究
- 医疗保健服务研究 医疗服务研究
- 行为健康整合行为健康整合
背景情况:
- 将行为健康纳入初级保健是管理多种慢性疾病患者的关键.
- 实践转型干预旨在加强这种整合并改善患者的治疗结果.
- 了解干预阶段完成的影响是优化实施的关键.
研究的目的:
- 评估一个全面的,多阶段的实践转型干预措施,以在初级保健中整合行为健康.
- 检查完成干预阶段与患者健康结果之间的关联.
- 通过多样化的全国样本评估对初级保健整合的影响.
主要方法:
- 一个务实的,集群随机对照试验,涉及42个初级保健实践.
- 从2945名在基线,中期和2年随访期间患有多种慢性疾病的患者收集的数据.
- 用于分析患者健康和实践整合结果的多层混合效应模型.
主要成果:
- 患者健康结果 (抑郁,焦虑,身体功能) 与干预阶段的完成没有显著差异.
- 每个干预阶段的完成与实践整合的增加相关,在工作流程,方法,患者识别和全面整合方面获得了较高的分数.
- 统计建模证实了干预阶段完成和实践整合指标之间的积极关联.
结论:
- 一个灵活的,以实践为中心的干预措施成功地提高了各种初级保健机构的行为健康整合.
- 该干预措施显示了通过改善护理提供来支持复杂患者群体的潜力.
- 需要进一步的研究来优化干预措施,以直接影响人口层面的患者健康结果.
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