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心理医生和内科医生在初级保健整合中的跨专业协作体验。

Psychologist and Physician Inter-Professional Collaborative Experiences in Primary Care Integration.

机构信息

Department of Psychology, Suffolk University, 73 Tremont Street, Boston, MA, 02108, USA.

出版信息

J Clin Psychol Med Settings. 2021 Sep;28(3):436-446. doi: 10.1007/s10880-020-09733-5.

DOI:10.1007/s10880-020-09733-5
PMID:32691192
Abstract

In recent years, the subject of integrated healthcare, including the integration of behavioral health services into primary care, within the healthcare field has been increasingly of interest to researchers, providers, and policy makers. However, little is known about the experiences of providers within integrated care and the impact of these experiences on inter-professional relationships and collaboration. The researchers aimed to explore differences in providers' perspectives, including inter-professional collaboration and overall job satisfaction, by provider type and level of integration. The current study uses a mixed method exploratory approach, gathering both qualitative and quantitative data to investigate the perspectives of providers (both psychologists and physicians) on their work together. This study included 30 psychologists and 30 primary care physicians from three levels of healthcare integration (traditional/coordinated, co-located, and integrated). As hypothesized, results indicated that providers in integrated settings were the most satisfied with their collaboration with other providers. Furthermore, the providers' narratives revealed promising insights which contribute to a broader understanding of how to improve the relationships between psychologists and primary care physicians in integrated healthcare and other settings.

摘要

近年来,医疗领域越来越关注整体医疗保健,包括将行为健康服务整合到初级保健中。然而,对于整合护理中的提供者的经验以及这些经验对专业间关系和协作的影响知之甚少。研究人员旨在通过提供者类型和整合程度来探索提供者观点的差异,包括专业间合作和整体工作满意度。本研究采用混合方法探索性方法,收集定性和定量数据,以调查提供者(心理学家和医生)对他们共同工作的看法。这项研究包括来自三个医疗整合水平(传统/协调、共置和整合)的 30 名心理学家和 30 名初级保健医生。正如假设的那样,结果表明,在整合环境中的提供者对他们与其他提供者的合作最满意。此外,提供者的叙述揭示了有希望的见解,有助于更全面地了解如何改善整合医疗保健和其他环境中心理学家和初级保健医生之间的关系。

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本文引用的文献

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The Affordable Care Act and integrated behavioral health programs in community health centers to promote utilization of mental health services among Asian Americans.《平价医疗法案》与社区健康中心的综合行为健康项目,以促进亚裔美国人对心理健康服务的利用。
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医护人员如何评估协作情况? - 一项针对精神障碍患者协作式和阶梯式护理的群组随机对照试验的定性过程评价。
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Behavioral health providers' perspectives of delivering behavioral health services in primary care: a qualitative analysis.行为健康提供者在基层医疗中提供行为健康服务的观点:定性分析。
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