Consumer-Therapist-Connector: Increasing Access to Quality Behavioral Healthcare

消费者-治疗师-连接者：增加获得优质行为医疗保健的机会

• 批准号: 10601368
• 负责人: David R. Kraus
• 金额: $ 27.48万
• 依托单位: OUTCOME REFERRALS INC
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-03-07 至 2024-09-06
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10601368
• 关键词: Address; Administrator; Adult; Anguish; Antidotes; Anxiety; Appointment; Area; Assertiveness; Award; Benchmarking; COVID-19; Callback; Caring; Clinic; Computers; Control Groups; Data; Decision Making; Deterioration; Development; Effectiveness; Employee; Evidence based treatment; Family; Frustration; Health; Health Services; Healthcare; Inequity; Joints; Learning; Libraries; Massachusetts; Mental Depression; Mental Health; Mind; Modeling; Modernization; Monitor; New York; Online Systems; Outcome; Outpatients; Patients; Persons; Phase; Positioning Attribute; Process; Provider; Publishing; Reporting; Science; Secure; Side; Surgeon; Surveys; Symptoms; System; Technology; Telemedicine; Telephone; Testing; Time; United States; Wait Time; Waiting Lists; Washington; behavioral health; coronavirus disease; evidence base; experience; flexibility; health care quality; high risk; improved; improved outcome; innovation; primary outcome; programs; prototype; psychologic; randomized, clinical trials; recruit; stakeholder perspectives; stressor; therapy outcome; tool; traditional therapy; trend; user-friendly

ABSTRACT The United States is experiencing a major mental health crisis. Per recent reports in the New York Times and The Washington Post, the gap between need and access to behavioral health services is rapidly increasing. There is an urgent need to solve both the access and quality problems with behavioral healthcare. With COVID and other stressors, 76% of surveyed employees are reporting at least one significant behavioral health symptom and 27% believe their employer is not doing enough to assist their family with their anxiety, depression, and other behavioral health issues. Another report indicated that adults are on wait lists for 3+ months to receive outpatient therapy in Massachusetts. There simply are not enough therapists to meet the growing demand and waiting lists are long and growing. On the quality side, more than 60% of patients find no meaningful benefit from the treatment they receive. We have already created a system that dramatically improved the quality problem in a randomized clinical trial: this referral process roughly doubled network outcomes for the primary referral channel for the Cleveland Clinic, improving outcomes compared to a control group where cases were assigned based on therapists self-perceived strengths. In the current application we aim to solve the access problem by developing Consumer-Therapist-Connector. This innovative online tool will expeditiously connect patients with well-matched therapists for traditional therapy by distance search, or telemedicine by state or national searches. What distinguishes our solution from other online find-a-therapist systems is that the patient can be easily added to the waitlist of all empirically well-matched providers, which increases the likelihood they will connect quickly with a good-fitting therapist. It will alleviate the growing anguish patients encounter when calling numerous providers only to learn that their practices are full. At the same time, these waiting lists will dramatically increase the opportunity to use our proven matching technology to simultaneously improve quality, encouraging consumers and providers to offer and accept appointments only when a match is likely to greatly benefit the patient.

抽象的 美国正在遭受重大的心理健康危机。根据新的报道 约克时报和《华盛顿邮报》，《需求与获得行为健康》之间的差距 服务正在迅速增加。迫切需要解决访问和质量 行为医疗保健问题。与共同压力源和其他压力源相关，有76％的调查 员工报告至少一种重要的行为健康症状，27％的人相信 他们的雇主不足以帮助家人焦虑，沮丧和其他 行为健康问题。另一份报告表明，成年人在等待清单中持续3个月以上 在马萨诸塞州接受门诊治疗。根本没有足够的治疗师可以见面 需求不断增长和等待清单漫长而不断增长。在质量方面，超过60％ 在患者中，他们没有从他们接受的治疗中发现有意义的好处。我们已经创建了 一个在随机临床试验中大大改善质量问题的系统： 转介过程大约对主要推荐通道的网络成果大致加倍 克利夫兰诊所，与分配病例的对照组相比，结果改善了 基于治疗师的自我感知长处。在当前的应用中，我们旨在解决 通过开发消费者 - 治疗师 - 连接器来访问问题。这个创新的在线工具将 迅速将患者与匹配良好的治疗师进行远距离治疗 搜索，或按州或国家搜索进行远程医疗。是什么区别于我们的解决方案 其他在线查找治疗师系统是，可以轻松地将患者添加到所有人的候补名单中 经验上良好的提供者，这增加了他们将迅速与之联系的可能性 一位善良的治疗师。它将减轻呼叫时遇到的痛苦患者的日益增长 众多提供商只是为了得知他们的实践已满。同时，这些等待 列表将极大地增加使用我们验证的匹配技术来的机会 同时提高质量，鼓励消费者和提供商提供和接受 仅当比赛可能会极大地使患者受益时，约会。