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初级医疗服务提供者对综合医疗模式的看法及体验

Primary care providers' perceptions of and experiences with an integrated healthcare model.

作者信息

Westheimer Joshua M, Steinley-Bumgarner Michelle, Brownson Chris

机构信息

Department of Counseling Psychology, University of Texas at Austin (UT), Austin, TX 78712, USA.

出版信息

J Am Coll Health. 2008 Jul-Aug;57(1):101-8. doi: 10.3200/JACH.57.1.101-108.

Abstract

OBJECTIVE AND PARTICIPANTS

The authors examined the experiences of primary care providers participating in an integrated healthcare service between mental health and primary care in a university health center. In this program, behavioral health providers work collaboratively with primary care providers in the treatment of students. Participants consisted of the 10 primary care providers participating in the program during the summer of 2004.

METHODS

The authors evaluated the program using a descriptive survey, analyzed by a combination of measures of central tendency and multidimensional scaling with cluster analysis.

RESULTS

They found a 2-dimensional, 3-cluster solution for the last 3 items. Findings indicate that although primary care providers valued behavioral health as a resource, a gap exists between what they believe behavioral health can assist with and their actual referral practice.

CONCLUSIONS

These findings indicate a need for further communication about the roles that mental health can play in the collaborative treatment of physical symptoms.

摘要

目的与参与者

作者考察了大学健康中心参与心理健康与初级保健综合医疗服务的初级保健提供者的经历。在该项目中,行为健康提供者与初级保健提供者合作治疗学生。参与者包括2004年夏季参与该项目的10名初级保健提供者。

方法

作者使用描述性调查对该项目进行评估,并通过集中趋势测量、多维标度法和聚类分析相结合的方式进行分析。

结果

他们为最后3个项目找到了一个二维三聚类解决方案。研究结果表明,虽然初级保健提供者重视行为健康作为一种资源,但他们认为行为健康能提供帮助的方面与他们实际的转诊做法之间存在差距。

结论

这些研究结果表明,需要就心理健康在身体症状协同治疗中可发挥的作用进行进一步沟通。

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