| Autor: |
Staab EM; 1 University of Chicago, Chicago, IL., Terras M; 1 University of Chicago, Chicago, IL., Dave P; 1 University of Chicago, Chicago, IL., Beckman N; 1 University of Chicago, Chicago, IL., Shah S; 1 University of Chicago, Chicago, IL., Vinci LM; 1 University of Chicago, Chicago, IL., Yohanna D; 1 University of Chicago, Chicago, IL., Laiteerapong N; 1 University of Chicago, Chicago, IL. |
| Jazyk: |
angličtina |
| Zdroj: |
American journal of medical quality : the official journal of the American College of Medical Quality [Am J Med Qual] 2018 May/Jun; Vol. 33 (3), pp. 253-261. Date of Electronic Publication: 2017 Oct 26. |
| DOI: |
10.1177/1062860617736607 |
| Abstrakt: |
Provider- and staff-perceived levels of integration were measured during implementation of a primary care behavioral health clinic; these data were used to tailor and evaluate quality improvement strategies. Providers and staff at an urban, academic, adult primary care clinic completed the 32-item Level of Integration Measure (LIM) at baseline and 7 months. The LIM assesses 6 domains of integrated care. Overall and domain scores were calibrated from 0 to 100, with ≥80 representing a highly integrated clinic. Response rate was 79% (N = 46/58) at baseline and 83% (N = 52/63) at follow-up. Overall, LIM score increased from 64.5 to 70.1, P = .001. The lowest scoring domains at baseline were targeted for quality improvement and increased significantly: integrated clinical practice, 60.0 versus 68.4, P < .001; systems integration, 57.0 versus 63.8, P = .001; and training, 56.7 versus 65.3, P = .001. Ongoing quality improvement, including organizational and financial strategies, is needed to achieve higher levels of integration. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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