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初级保健中患者对行为健康提供者的看法:对两家东南部诊所的定性研究

Patient Views of Behavioral Health Providers in Primary Care: A Qualitative Study of 2 Southeastern Clinics.

作者信息

Koehler Aubry N, Trejo Grisel, Sandberg Joanne C, Swain Brittany H, Marion Gail S, Kirk Julienne K

机构信息

Department of Family and Community Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.

出版信息

J Patient Exp. 2020 Aug;7(4):527-533. doi: 10.1177/2374373519860357. Epub 2019 Jul 10.

Abstract

BACKGROUND

Limited research is available around patient experience of integrated behavioral health care in primary care settings.

OBJECTIVE

We sought to identify the major themes through which patients described their integrated behavioral health care experiences as a means of informing and improving clinic processes of integrated health care delivery.

METHODS

We captured viewpoints from 16 patients who experienced an integrated behavioral health care model from 2 primary care clinics and completed at least 3 visits with a behavioral health provider (BHP). Using grounded theory analyses, we coded and analyzed transcriptions for emergent themes.

ANALYSIS

The interview process yielded 3 major themes related to the BHP including (a) the BHPs' clinic presence made behavioral health care more convenient and accessible, (b) BHPs worked within time and program limitations, and (c) BHPs helped with coping, wellness, and patient-care team communication.

CONCLUSION

The BHPs serving in a large primary care practice and a Federally Qualified Health Center played an important role in connecting patients with behavioral health care and improving care team collaboration, both in terms of communication within the team and between the team and the patient/family.

摘要

背景

关于初级保健机构中综合行为健康护理的患者体验的研究有限。

目的

我们试图确定患者描述其综合行为健康护理体验的主要主题,以此为综合医疗服务的临床流程提供信息并加以改进。

方法

我们收集了16名患者的观点,这些患者在两家初级保健诊所体验了综合行为健康护理模式,并至少与行为健康服务提供者(BHP)进行了3次就诊。我们采用扎根理论分析法,对转录内容进行编码和分析以找出新出现的主题。

分析

访谈过程产生了与行为健康服务提供者相关的3个主要主题,包括(a)行为健康服务提供者在诊所的存在使行为健康护理更加便捷且可及,(b)行为健康服务提供者在时间和项目限制内开展工作,以及(c)行为健康服务提供者帮助患者应对、促进健康并加强患者护理团队沟通。

结论

在大型初级保健机构和联邦合格健康中心工作的行为健康服务提供者在将患者与行为健康护理联系起来以及改善护理团队协作方面发挥了重要作用,这在团队内部沟通以及团队与患者/家庭之间的沟通方面均是如此。

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