Barriers and Facilitators of Adolescent Behavioral Health in Primary Care: Perceptions of Primary Care Providers
Barriers and Facilitators of Adolescent Behavioral Health in Primary Care: Perceptions of Primary Care Providers
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DOI：
10.1037/a0018076
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发表时间：
2009-12-01
影响因子：
1.3
通讯作者：
Schydlower, Manuel
中科院分区：
文献类型：
--
作者：
Bitar, George W.;Springer, Paul;Schydlower, Manuel
几份主要政策报告描述了初级保健在改善向儿童和青少年提供行为保健服务方面的核心作用。尽管初级保健提供者在提供这些服务方面处于独特的地位，但许多障碍阻碍了这些服务的整合，包括时间、诊所管理和组织问题、培训和资源。尽管文献中描述了其中许多障碍，但很少有研究从一线提供者的第一人称视角调查这些问题。因此，本研究的目的是深入描述不同初级保健机构（即联邦合格健康中心 [FQHC]、FQHC-Look Alike、学校、军队）中初级保健提供者对青少年行为健康护理的态度和看法。在 5 个初级保健诊所开展了 16 个焦点小组活动。使用主题分析来分析焦点小组数据。提出了整合的障碍以及利用培训和教育、工作组和社区协作来克服这些挑战的策略。
Several major policy reports describe the central role of primary care in improving the delivery of behavioral health care services to children and adolescents. Although primary care providers are uniquely positioned to provide these services, numerous obstacles hinder the integration of these services, including time, clinic management and organization issues, training, and resources. Although many of these obstacles have been described in the literature, few studies have investigated these issues from the first-person perspective of front-line providers. The purpose of this study, therefore, is to provide an in-depth description of primary care providers' attitudes and perceptions of adolescent behavioral health care across a diversity of primary care settings (i.e., Federally Qualified Health Center [FQHC], FQHC-Look Alike, school-based, military). Sixteen focus groups were conducted at 5 primary care clinics. Thematic analysis was used to analyze the focus group data. Obstacles to integration are presented as well as strategies to overcome these challenges, using training and education, working groups, and community collaboratives.