Implementation of a Novel Pediatric Behavioral Health Integration Initiative.
Implementation of a Novel Pediatric Behavioral Health Integration Initiative.
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实施新型儿科行为健康整合计划。
DOI：
10.1007/s11414-022-09803-6
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Sheldrick,RChristopher
中科院分区：
文献类型：
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作者：
Safon,CaraB;Estela,MariaGuadalupe;Rosenberg,Jessica;Feinberg,Emily;Drainoni,Mari-Lynn;Morris,Anita;Durham,MichelleP;Bair-Merritt,Megan;Sheldrick,RChristopher
本研究探讨了医疗保健专业人员对行为健康整合（BHI）对社区卫生中心（CHCs）儿科初级保健服务的影响的看法。一个并行的，质量占主导地位的混合方法的实证研究设计，采用半结构化的采访，医疗保健专业人员在3年的共同开发，实施和评估过程的实施阶段结束。还在三个时间点进行了调查。通过主题分析，新兴的定性主题映射到关系协调（RC）的概念框架，三角形和定量结果补充最终的定性结果。访谈结果揭示了五个新兴的主题与RC域对齐。调查结果显示，医疗保健专业人员报告增加行为医疗保健整合到临床实践（p= 0.0002），并增加临床准备，以解决行为健康需求（p= 0.0010）。有效的儿科BHI和CHCs的护理服务可能依赖于强大的专业关系和沟通。需要从患者/护理人员的角度进行额外的研究。
This study explores healthcare professionals’ perspectives about the impact of behavioral health integration (BHI) on pediatric primary care delivery in community health centers (CHCs). A concurrent, qualitative-dominant mixed methods empirical study design was utilized, applying semi-structured interviews with healthcare professionals at the end of the implementation phase of a 3-year co-development, implementation, and evaluation process. Surveys were also administered at three time points. Via thematic analysis, emergent qualitative themes were mapped onto the Relational Coordination (RC) conceptual framework to triangulate and complement final qualitative results with quantitative results. Interview findings reveal five emergent themes aligning with RC domains. Survey results show that healthcare professionals reported increased behavioral healthcare integration into clinic practice (p= 0.0002) and increased clinic readiness to address behavioral health needs (p= 0.0010). Effective pediatric BHI and care delivery at CHCs may rely on strong professional relationships and communication. Additional research from the patient/caregiver perspective is needed.