Gurfinkel Dennis, Owen Vanessa, Kreisel Carlee, Hosokawa Patrick, Kluger Samantha, Legge Courtney, Calderone Jacqueline, Eskew Alisha, Waugh Maryann, Shore Jay H, Brown Levey Shandra M, Holtrop Jodi Summers
Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS), University of Colorado and Children's Hospital Colorado, Anschutz Medical Campus, Aurora, CO, USA.
Department of Family Medicine, School of Medicine, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA.
J Patient Exp. 2024 Nov 3;11:23743735241293877. doi: 10.1177/23743735241293877. eCollection 2024.
Integrated and collaborative care models, in which mental/behavioral health providers work closely with primary care providers within a primary care setting, help support the quadruple aim of improved health outcomes, patient satisfaction, provider experience, and lower cost. In this paper, we describe patients' general perspectives of integrated care and their unique experiences accessing this care within one health system. Qualitative (interviews with patients) and quantitative (surveys with patients) methods were used to collect and analyze these results separately and together. The results highlight important features to the provision of integrated care from the perspective of patients using integrated care. They include the importance and experience of access, whole-person care and a team-based approach, the availability and use of telehealth when appropriate, having high quality mental health providers, scheduling and service usage suggestions, and means to connect with longer-term services for ongoing mental health care when needed.
综合与协作式护理模式,即精神/行为健康提供者在初级护理环境中与初级护理提供者密切合作,有助于实现改善健康结果、患者满意度、提供者体验和降低成本这四重目标。在本文中,我们描述了患者对综合护理的总体看法以及他们在一个医疗系统中获得这种护理的独特经历。分别使用定性(患者访谈)和定量(患者调查)方法来收集和分析这些结果。结果从使用综合护理的患者角度突出了提供综合护理的重要特征。这些特征包括获得护理的重要性和体验、全人护理和基于团队的方法、在适当情况下远程医疗的可用性和使用、拥有高素质的精神健康提供者、日程安排和服务使用建议,以及在需要时与长期服务机构联系以获得持续心理健康护理的途径。