将数字第一行为健康护理模型扩展到初级保健
Soo Jeong Youn1,2, Keke Schuler3, Pratha Sah3
1Department of Behavioral Health, Reliant Medical Group, OptumCare, Worcester, MA, USA. Soojeong.youn@reliantmedicalgroup.org.
Administration and policy in mental health
|February 28, 2025
概括
初级保健提供者可以有效地将数字行为健康干预措施整合到他们的实践中. 该模型显示了高患者接受率和临床改善,解决了护理的供需差距.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 在初级保健整合.
- 行为健康访问行为健康.
背景情况:
- 在行为医疗保健中确立的供需挑战.
- 建议的解决方案:初级保健提供者 (PCP) 管理行为健康需求.
- 需要适应性,可扩展性数字解决方案.
研究的目的:
- 适应和评估精确行为健康 (PBH),这是一个数字第一模型,用于从初级保健提供行为健康转诊.
- 评估PBH模型的可行性,采用和患者结果.
- 为了收集供应商的反,以优化程序.
主要方法:
- 以用户为中心的设计和混合方法的适应方法.
- 试点试验涉及PCP,医务助理和护理人员.
- 使用RE-AIM框架和半结构面试进行评估.
主要成果:
- 在初级保健患者中,PBH达到39.5%;接受转诊的患者为26.1%.
- 在接受者中,78.2%注册,74.0%激活数字干预,59.1%显示临床改善.
- 90.5%的提供商采用了PBH,报告了积极的经验和低负担.
结论:
- 初级保健提供者愿意并能够将患者推到数字行为健康干预.
- 该PBH模型显示了高的患者接受率和临床改善率.
- 这种数字化第一的方法增加了行为健康的访问,而不会增加提供者的负担.
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