Okafor Martha, Ede Victor, Kinuthia Rosemary, Satcher David
Yale University School of Nursing, New Heaven, CT, USA.
Frank H. Netter School of Medicine, Quinnipiac University, North Haven, CT, USA.
Community Ment Health J. 2018 Nov;54(8):1109-1115. doi: 10.1007/s10597-017-0230-8. Epub 2018 Jan 11.
In an effort to tackle fragmented care in the US healthcare delivery system, we explored the use of learning collaborative (LC) to advance integration of behavioral health and primary care as one of the potential solutions to a holistic approach to the delivery of quality healthcare to individuals with physical and mental illness. How a diverse group of primary care and behavioral health providers formed a Community of Practice (CoP) with a common purpose and shared vision to advance integrated care using a LC approach is described. An account of their learning experience, key components of their quality improvement, practice changes, clinical processes, and improved outcomes are explained. This paper aims at describing the history, creative design, processes, roles of the CoP and impact of the LC on the advancement of integrated care practice and quality improvements for further exploration and replications.
为解决美国医疗服务体系中医疗服务碎片化的问题，我们探索了运用学习协作（LC）来推动行为健康与初级保健的整合，将其作为为患有身心疾病的个人提供优质整体医疗服务的潜在解决方案之一。本文描述了一群多元化的初级保健和行为健康提供者如何形成一个实践社区（CoP），该社区有着共同的目标和愿景，采用学习协作方法推进综合医疗服务。文中还阐述了他们的学习经历、质量改进的关键要素、实践变化、临床流程以及改善的结果。本文旨在描述实践社区的历史、创新设计、流程、角色以及学习协作对推进综合医疗服务实践和质量改进的影响，以供进一步探索和复制。
