When Behavioral Health Concerns Present in Pediatric Primary Care: Factors Influencing Provider Decision-Making
When Behavioral Health Concerns Present in Pediatric Primary Care: Factors Influencing Provider Decision-Making
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DOI：
10.1007/s11414-017-9580-9
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发表时间：
2018-07-01
影响因子：
1.9
通讯作者：
Wissow, Lawrence
中科院分区：
文献类型：
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作者：
Connors, Elizabeth H.;Arora, Prerna;Wissow, Lawrence
初级保健提供者（PCP）经常遇到儿科患者的行为健康（BH）需求。然而，PCP报告变量的培训和舒适度与BH，问题仍然是如何以及何时PCP解决儿科BH的需求。关于PCP决定在诊所内解决儿科BH而不是参考亚专科BH的现有文献有限，结果不一。因此，本研究试图检查参数和背景因素影响PCP的决策和实践有关BH护理。在马里兰州与21名PCP进行的定性访谈结果表明，关于如何以及何时解决儿科BH问题的决定受到BH服务类型、患者特征、社区BH服务的可用性以及可能的PCP对BH护理作为一个独特的亚专业的看法的影响。研究结果表明，努力支持个人PCP的能力，以解决BH在初级保健必须平衡的努力，扩大专科BH的劳动力。
Primary care providers (PCPs) frequently encounter behavioral health (BH) needs among their pediatric patients. However, PCPs report variable training in and comfort with BH, and questions remain about how and when PCPs address pediatric BH needs. Existing literature on PCP decisions to address pediatric BH in-office versus referring to subspecialty BH is limited and findings are mixed. Accordingly, this study sought to examine parameters and contextual factors influencing PCP decisions and practices related to BH care. Qualitative interview results with 21 PCPs in Maryland indicated that decisions about how and when to address pediatric BH concerns are influenced by the type BH service needed, patient characteristics, the availability of BH services in the community, and possibly PCPs' perceptions of BH care as a distinct subspecialty. Findings suggest that efforts to support individual PCPs' capacity to address BH within primary care must be balanced by efforts to expand the subspecialty BH workforce.