基于连续性的框架的使用,以推进社区行为健康诊所的一般健康整合
Ekaterina Smali1, Molly T Finnerty1, Harold A Pincus1
1Montefiore Care Management Organization, New York City (Smali, Chung); Department of Child and Adolescent Psychiatry, New York University Grossman School of Medicine, New York City (Finnerty); Department of Psychiatry and Irving Institute for Clinical and Translational Research, Columbia University, and New York State Psychiatric Institute, New York City (Pincus); Behavioral Health Administration, Maryland Department of Health, Baltimore (Talley); Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle (Goldman); private practice, New York City (Woodlock); Department of Psychiatry, Albert Einstein College of Medicine, New York City (Chung).
一般健康整合 (GHI) 框架有效地改善了社区行为健康诊所 (CCBHC) 的实践. 这种工具有助于CCBHC在12个月的合作项目中推进整合和提高质量指标.
科学领域:
- 行为健康 行为健康
- 医疗保健整合 医疗保健整合
- 提高质量 提高质量
背景情况:
- 社区行为健康组织越来越多地采用综合护理模式.
- 认证的社区行为健康诊所 (CCBHCs) 需要强大的服务提供框架.
- 一般健康整合 (GHI) 框架是评估和改进综合护理的新工具.
研究的目的:
- 评估GHI框架的实用性和有效性.
- 评估GHI框架对社区行为健康组织的影响.
- 确定GHI框架是否可以增强CCBHC中的整合和质量指标.
主要方法:
- 一个为期12个月的学习合作项目,涉及19个社区行为健康诊所.
- 利用GHI框架评估15个子域的整合.
- 测量GHI分数,质量指标报告能力和基线和1年后续的表现.
主要成果:
- 诊所在整合阶段的整体情况有所改善.
- 较高的基线GHI得分与更好的质量表现相关.
- 观察到,跟踪质量指标和平均绩效的能力显著增加.
结论:
- GHI框架是社区行为健康诊所的一个有用工具.
- 一个为期12个月的学习协作促进了GHI实践的进步.
- GHI框架支持旨在加强综合护理的诊所.
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