Children's Hospital Los Angeles, Los Angeles, CA, USA.
Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Clin Pediatr (Phila). 2023 Nov;62(11):1414-1425. doi: 10.1177/00099228231164478. Epub 2023 Mar 29.
Due to the pervasive shortage of behavioral health (BH) specialists, collaborative partnerships between pediatric primary care practitioners (PPCPs) and BH specialists can enhance provision of BH services by PPCPs. We aimed to create a new model of collaborative care that was mostly virtual, affordable, and scalable. The pilot program was implemented in 18 practices (48 PPCPs serving approximately 150 000 patients) in 2 consecutive cohorts. Outcomes were assessed by administering pre-program and post-program surveys. Across the 18 practices, PPCPs reported significantly increased confidence in their BH knowledge and skills, and significantly increased their provision of target BH services. Barriers to BH service provision (resources, time, and staff) were unchanged. This compact, mostly virtual model of BH collaboration appears to be beneficial to PPCPs while also offering convenience to patients and affordability and scalability to the practice network.
由于行为健康(BH)专家普遍短缺,儿科初级保健医生(PPCP)和 BH 专家之间的合作关系可以增强 PPCP 提供 BH 服务的能力。我们旨在创建一种新的合作护理模式,这种模式主要是虚拟的、负担得起的和可扩展的。该试点项目分两批在 18 个实践中(48 名服务约 15 万名患者的 PPCP)实施。通过在项目前和项目后进行调查来评估结果。在这 18 个实践中,PPCP 报告称,他们对 BH 知识和技能的信心显著增强,并且显著增加了目标 BH 服务的提供。BH 服务提供的障碍(资源、时间和人员)没有改变。这种紧凑的、主要是虚拟的 BH 合作模式似乎对 PPCP 有益,同时也为患者提供了便利,为实践网络提供了可负担性和可扩展性。