One Medical, San Francisco, CA, USA.
J Prim Care Community Health. 2024 Jan-Dec;15:21501319241273290. doi: 10.1177/21501319241273290.
The pandemic contributed to increased mental and cognitive health concerns as well as reduced utilization of preventive and treatment focused care. Deferred care can contribute to negative clinical outcomes, including increased acuity of mental and cognitive health concerns that benefit from early intervention. A new visit type was launched with the aim of reaching patients who may need care and supporting early identification of cognitive and mental health issues.
We developed the Healthy Mind visit, a preventative visit administered by Primary Care Providers (PCPs) within outpatient clinics. The Healthy Mind visit included use of a pre-visit mental health screener as well as a brief computerized cognitive assessment. The clinical interaction focused on identifying mental and cognitive health concerns and developing a plan for wellness. Outcomes data collection occurred over nearly 2.5 years and focused on analyzing booking patterns, depression screening and follow-up, and clinical outcomes such as health confidence and post-visit motivation.
The visit was effective in supporting depression screening and follow-up with 29.6% of those participating in a Healthy Mind visit receiving a PHQ-9, and 82.5% of patients with elevated PHQ-9 scores attending a subsequent visit with their PCP. Improvements in health confidence and high patient reported motivation post-visit represent other notable clinical outcomes. The visit also promoted care utilization, with 73.5% of patients who attended a Healthy Mind visit being new to the practice or those who had not attended an appointment in the past 6 months.
The Healthy Mind visit, with a focus on mental and cognitive health, was successful in reaching patients who may not have otherwise sought care and supported positive clinical outcomes including early identification and treatment of depression and increased health confidence.
These findings reflect the importance of developing innovative programs to connect patients with care, especially those who may have deferred care due to a variety of factors. Focusing on mental and cognitive health with the use of innovative tools such as a computerized assessment, can drive patient interest in care offerings and support positive clinical outcomes.
大流行导致人们更加关注精神和认知健康问题，同时减少了预防和以治疗为重点的护理的利用。延迟护理可能会导致负面的临床结果，包括增加精神和认知健康问题的严重程度，这些问题受益于早期干预。推出了一种新的就诊类型，旨在接触可能需要护理的患者，并支持早期识别认知和精神健康问题。
我们开发了“健康思维”就诊，这是一种由初级保健提供者（PCP）在门诊诊所进行的预防就诊。“健康思维”就诊包括使用就诊前心理健康筛查工具和简短的计算机认知评估。临床互动侧重于识别精神和认知健康问题，并制定健康计划。近 2.5 年来收集了结果数据，重点分析预约模式、抑郁筛查和随访情况以及健康信心和就诊后动力等临床结果。
该就诊有效地支持了抑郁筛查和随访，有 29.6%的参与者接受了 PHQ-9 测试，82.5%的 PHQ-9 评分升高的患者随后与他们的 PCP 就诊。健康信心的提高和患者就诊后高度报告的动力是其他显著的临床结果。该就诊还促进了护理的利用，73.5%的就诊者是新患者或过去 6 个月内未就诊的患者。
“健康思维”就诊侧重于精神和认知健康，成功地接触到了那些可能没有寻求护理的患者，并支持了积极的临床结果，包括早期识别和治疗抑郁以及提高健康信心。
这些发现反映了开发创新计划以将患者与护理联系起来的重要性，特别是那些由于各种因素而推迟护理的患者。通过使用计算机评估等创新工具关注精神和认知健康，可以提高患者对护理服务的兴趣，并支持积极的临床结果。
