University of Pittsburgh and RAND Corporation, 4570 Fifth Avenue, Suite 600, Pittsburgh, PA USA.
Transl Behav Med. 2011 Mar;1(1):89-92. doi: 10.1007/s13142-011-0020-8.
Depression among pregnant and postpartum women (i.e., perinatal depression) is the number one complication of childbirth. The Allegheny County Maternal Depression Initiative aimed to bridge gaps between physical and behavioral health care and improve the capacity of local systems of care for identifying and treating women at high risk for perinatal depression. To achieve these goals, the collaborative adopted a community-based model of systems change focused on women enrolled in the local Medicaid managed care system. Although the systems change protocol included a number of strategies for enhancing communication at all levels of care, variations in health information technology (HIT) capacities and/or capabilities across initiative partners frequently prevented optimal implementation of these strategies. Here, we present an overview of the results of the initiative, share insights from the collaborative regarding how HIT could have improved those results, and offer recommendations related to ways to effectively leverage HIT to integrate physical and behavioral health care.
围产期抑郁（即孕妇和产后女性的抑郁）是分娩的头号并发症。阿勒格尼县孕产妇抑郁倡议旨在弥合身体和行为健康护理之间的差距，并提高当地护理系统识别和治疗高风险围产期抑郁女性的能力。为了实现这些目标，该合作组织采用了以社区为基础的系统变革模式，重点关注参与当地医疗补助管理式医疗系统的女性。尽管系统变革方案包括了许多旨在加强各级护理沟通的策略，但倡议合作伙伴之间的健康信息技术（HIT）能力和/或功能的差异经常阻碍了这些策略的最佳实施。在这里，我们概述了该倡议的结果，分享了合作组织关于 HIT 如何改善这些结果的见解，并提出了与有效利用 HIT 整合身体和行为健康护理相关的建议。
