University of Massachusetts Medical School, Center for Health Policy and Research, Shrewsbury, MA, 01545, USA.
J Subst Abuse Treat. 2014 Feb;46(2):227-31. doi: 10.1016/j.jsat.2013.06.013. Epub 2013 Sep 3.
Coordinating medical and substance use disorder (SUD) services is associated with good health and treatment outcomes but it is not widely practiced. This may be due to a lack of real-world models for coordinating care. This study examined the operational practices associated with a sample of community health centers (CHCs) identified as effectively coordinating SUD services relative to other CHCs. Case studies were used to describe the process of identifying patient need and linking patients with SA treatment services, and to generate propositions about operational approaches for effectively coordinating care. Integrating behavioral health staff within the primary care team was identified as especially critical for facilitating key care transitions. Additional operational approaches that aim to improve care transitions within and across care settings were identified. Future study will be needed to understand the significance of these approaches in terms of health and treatment outcomes. On-going coordination activities among primary care and SUD provided for shared patients remained a challenge for all sites.
协调医疗和物质使用障碍（SUD）服务与良好的健康和治疗结果相关，但并未得到广泛实施。这可能是由于缺乏协调护理的实际模型。本研究考察了与被确定为相对于其他 CHC 有效协调 SUD 服务的一组社区卫生中心（CHC）相关的运营实践。案例研究用于描述确定患者需求和将患者与 SA 治疗服务联系起来的过程，并提出关于有效协调护理的运营方法的建议。将行为健康工作人员整合到初级保健团队中被确定为促进关键护理过渡的关键。还确定了旨在改善护理在护理环境内和之间的过渡的其他运营方法。需要进一步的研究来了解这些方法在健康和治疗结果方面的重要性。所有站点都面临着为共同患者提供的初级保健和 SUD 之间持续协调活动的挑战。
