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实践整合概况的进一步经验:行为健康与初级保健整合的一项衡量指标

Further Experience with the Practice Integration Profile: A Measure of Behavioral Health and Primary Care Integration.

作者信息

Hitt Juvena R, Brennhofer Stephanie A, Martin Matthew P, Macchi C R, Mullin Daniel, van Eeghen Constance, Littenberg Benjamin, Kessler Rodger S

机构信息

Department of Medicine, University of Vermont Larner College of Medicine, 89 Beaumont Avenue, Given Courtyard South S467, Burlington, VT, 05405, USA.

Department of Public Health Sciences, University of Virginia, 345 Crispell Drive, P.O. Box 801379, Charlottesville, VA, 22908, USA.

出版信息

J Clin Psychol Med Settings. 2022 Jun;29(2):274-284. doi: 10.1007/s10880-021-09806-z. Epub 2021 Aug 9.

DOI:10.1007/s10880-021-09806-z
PMID:34370184
Abstract

Valid measures of behavioral health integration have the potential to enable comparisons of various models of integration, contribute to the overall development of high-quality care, and evaluate outcomes that are strategically aligned with standard improvement efforts. The Practice Integration Profile has proven to discriminate among clinic types and integration efforts. We continued the validation of the measure's internal consistency, intra-rater consistency, and inter-rater consistency with a separate and larger sample from a broader array of practices. We found that the Practice Integration Profile demonstrated a high level of internal consistency, suggesting empirically sound measurement of independent attributes of integration, and high reliability over time. The Practice Integration Profile provides internally consistent and interpretable results and can serve as both a quality improvement and health services research tool.

摘要

行为健康整合的有效衡量标准有可能实现对各种整合模式的比较,推动高质量护理的整体发展,并评估与标准改进工作战略一致的结果。实践整合概况已被证明能够区分不同类型的诊所和整合工作。我们使用来自更广泛实践的一个单独且更大的样本,继续对该衡量标准的内部一致性、评分者内一致性和评分者间一致性进行验证。我们发现,实践整合概况显示出高度的内部一致性,表明对整合的独立属性进行了基于实证的合理测量,并且随着时间推移具有高度可靠性。实践整合概况提供了内部一致且可解释的结果,可作为质量改进和卫生服务研究工具。

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本文引用的文献

1
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Health Serv Res. 2019 Apr;54(2):379-389. doi: 10.1111/1475-6773.13117. Epub 2019 Feb 6.
2
Psychometric properties of instruments measuring quality and satisfaction in mental health: A systematic review.测量心理健康质量和满意度的工具的心理计量学特性:系统评价。
J Adv Nurs. 2018 Nov;74(11):2497-2510. doi: 10.1111/jan.13813. Epub 2018 Aug 22.
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Strategies to Support the Integration of Behavioral Health and Primary Care: What Have We Learned Thus Far?
综合行为健康与初级保健随机实用干预试验中干预阶段完成情况的影响
medRxiv. 2024 Feb 8:2024.02.07.24302481. doi: 10.1101/2024.02.07.24302481.
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A Cluster Randomized Trial of Primary Care Practice Redesign to Integrate Behavioral Health for Those Who Need It Most: Patients With Multiple Chronic Conditions.一项针对最需要的人群(患有多种慢性病的患者)进行的初级保健实践重新设计以整合行为健康服务的整群随机试验。
Ann Fam Med. 2023 Nov-Dec;21(6):483-495. doi: 10.1370/afm.3027.
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Integrated Behavioral Health in Primary Care Residency and Nonresidency Practices.初级保健住院医师和非住院医师实践中的综合行为健康。
Fam Med. 2023 Sep;55(8):530-538. doi: 10.22454/FamMed.2023.715036. Epub 2023 Jun 21.
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J Am Board Fam Med. 2015 Sep-Oct;28 Suppl 1:S102-6. doi: 10.3122/jabfm.2015.S1.150112.
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Addressing the workforce crisis in integrated primary care.应对综合初级保健中的劳动力危机。
J Clin Psychol Med Settings. 2009 Mar;16(1):113-9. doi: 10.1007/s10880-008-9142-7. Epub 2009 Jan 16.
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