Digital Health Policy Advisors, LLC, Oak Park, Cook County, IL, USA.
Plymouth Meeting, Montgomery, PA, USA.
J Behav Health Serv Res. 2022 Apr;49(2):221-230. doi: 10.1007/s11414-021-09774-0. Epub 2021 Oct 19.
Integrated behavioral health and primary care is a set of related approaches to enhance care delivery, safety, and quality through closer collaboration and coordination among clinicians and care organizations in these two fields. Technology (e.g., electronic health records (EHR), telehealth, clinical decision support, and standards-based interoperability) can enable integration and improve delivery of care. Reinforcing these opportunities, virtual care and telehealth have dramatically changed care availability and delivery, especially during the COVID-19 pandemic. There are different levels of integration, ranging from minimal to full collaboration. The Partnership for Health IT Patient Safety and the HIMSS Electronic Health Record Association (EHRA) formed a workgroup to examine using information technology to facilitate integration. Taking a three-pronged approach focused on (1) screening for behavioral health issues, (2) clinician documentation, and (3) sharing data among clinicians, patients, and authorized parties, the workgroup developed action-oriented recommendations and strategies for safe use of health IT for stakeholders and policymakers seeking to advance efforts to integrate behavioral health with primary care.
综合行为健康和初级保健是一系列相关方法，通过这两个领域的临床医生和医疗保健组织之间更紧密的合作和协调，来增强护理服务的提供、安全性和质量。技术（例如电子健康记录 (EHR)、远程医疗、临床决策支持和基于标准的互操作性）可以实现整合并改善护理服务的提供。虚拟护理和远程医疗极大地改变了护理的可及性和提供方式，尤其是在 COVID-19 大流行期间。整合有不同的程度，从最小程度的合作到完全合作。医疗保健信息技术合作伙伴关系和 HIMSS 电子健康记录协会 (EHRA) 成立了一个工作组，以研究利用信息技术促进整合。该工作组采用三管齐下的方法，重点关注（1）筛查行为健康问题，（2）临床医生记录，以及（3）临床医生、患者和授权方之间的数据共享，为寻求推进将行为健康与初级保健相结合的努力的利益相关者和政策制定者制定了面向行动的建议和战略，以安全使用医疗信息技术。
