Bhatta Dependra, Sizer Monteic A, Acharya Binod, Banjara Dipendra
Northeast Delta Human Services Authority, 2513 Ferrand Street, Monroe, LA, 71201, USA.
Vickie and Jack Farber Research Center, Wills Eye Hospital, Philadelphia, PA, 19107, USA.
BMC Prim Care. 2025 May 22;26(1):181. doi: 10.1186/s12875-025-02876-0.
Integrated care addresses the fragmentation of patient health services and potentially improves the experience of care, reduces healthcare costs, and improves health outcomes. This study assessed the improvements in mental health and physical health outcomes among patients living with mental health challenges and treated in an integrated care setting.
The longitudinal retrospective cohort study evaluated anxiety (GAD-7), depression (PHQ-9), systolic blood pressure, and glycated hemoglobin levels from baseline to the next three assessments recorded from October 1, 2018, to December 31, 2023.
At baseline, 239 participants responded to mental health outcome measures, 344 to systolic blood pressure, and 164 to glycated hemoglobin level. The Generalized Estimating Equations analysis showed an improvement in GAD-7 (-1.28 [95% CI, -1.71 to -0.85]) and PHQ-9 (-1.37 [95% CI, -1.73 to -0.92]) scores in successive assessments. The physical health outcomes (Systolic blood pressure (-0.004 [95% CI, -1.34 to 1.35]) and glycated hemoglobin (0.04 [95% CI, -0.07 to 0.15])) remained stable.
This study demonstrates that patients with mental health challenges treated in integrated care experience improvements in depression and anxiety symptoms, with stable physical health outcomes.
综合护理解决了患者健康服务碎片化的问题，并有可能改善护理体验、降低医疗成本并改善健康结果。本研究评估了在综合护理环境中接受治疗的心理健康有挑战的患者在心理健康和身体健康结果方面的改善情况。
这项纵向回顾性队列研究评估了从2018年10月1日至2023年12月31日记录的基线到接下来三次评估中的焦虑（广泛性焦虑障碍量表-7，GAD-7）、抑郁（患者健康问卷-9，PHQ-9）、收缩压和糖化血红蛋白水平。
在基线时，239名参与者对心理健康结果测量做出了回应，344名对收缩压做出了回应，164名对糖化血红蛋白水平做出了回应。广义估计方程分析显示，在连续评估中，GAD-7（-1.28 [95%置信区间，-1.71至-0.85]）和PHQ-9（-1.37 [95%置信区间，-1.73至-0.92]）得分有所改善。身体健康结果（收缩压（-0.004 [95%置信区间，-1.34至1.35]）和糖化血红蛋白（0.04 [95%置信区间，-0.07至0.15]））保持稳定。
本研究表明，在综合护理中接受治疗的心理健康有挑战的患者在抑郁和焦虑症状方面有所改善，身体健康结果保持稳定。
