Wrenn Glenda, Kasiah Fatima, Syed Irshad
Morehouse School of Medicine, Atlanta, US.
Grady Health System, Atlanta, US.
J Innov Health Inform. 2015 Sep 9;22(3):323-8. doi: 10.14236/jhi.v22i3.134.
Integration of behavioural health into primary care clinics is an established model of care and important approach to eliminating mental health disparities, but demands on provider time is a barrier to mental health screening. The purpose of this study was to determine the feasibility of using a kiosk placed in a primary care clinic to screen for multiple mental health disorders.
Quality improvement initiative with Plan-Do-Study-Act implementation and time series monitoring of utilisation outcomes.
A total of 281 screens were completed identifying positive screens for depression (30%) and bipolar disorder (17%). Post-traumatic stress disorder and concerning substance use were less common.
Development of health information technology to facilitate behavioural health assessment in primary care is a promising approach to integrated care and provides additional benefits of population health monitoring.
将行为健康纳入初级保健诊所是一种既定的护理模式，也是消除心理健康差距的重要方法，但对提供者时间的要求是心理健康筛查的一个障碍。本研究的目的是确定在初级保健诊所设置信息亭筛查多种心理健康障碍的可行性。
采用计划-实施-研究-改进模式进行质量改进举措，并对使用结果进行时间序列监测。
共完成了281次筛查，发现抑郁（30%）和双相情感障碍（17%）呈阳性筛查结果。创伤后应激障碍和令人担忧的物质使用情况较少见。
开发健康信息技术以促进初级保健中的行为健康评估是综合护理的一种有前景的方法，并为人群健康监测带来额外益处。
