Challenges and successes in an integrated behavioral complex care clinic
| Autor: | Jodi M. Winship, Carole K. Ivey, Rebecca S. Etz |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
business.industry 030503 health policy & services Mortality rate Primary care medicine.disease Medical care Mental health Education Substance abuse 03 medical and health sciences 0302 clinical medicine Nursing Ambulatory care Family medicine Health care medicine Interprofessional teamwork 030212 general & internal medicine 0305 other medical science business |
| Zdroj: | Journal of Interprofessional Education & Practice. 9:34-40 |
| ISSN: | 2405-4526 |
| DOI: | 10.1016/j.xjep.2017.08.002 |
| Popis: | Background Mental health and substance abuse disorders occur with other medical problems at a higher rate, resulting in increased costs and higher morbidity and mortality rates. Integrating behavioral health with primary care has shown success, but how this approach is experienced by patients and clinicians in a complex care clinic is not fully investigated. Purpose This study explored the benefits and challenges of a complex care clinic with an integrated behavioral health component. Method We used a conventional qualitative content analysis of semi-structured interviews with clinicians and patients, and team meeting observations. Conclusions Patients and clinicians perceive similar successes of an integrated behavioral health complex care clinic, such as decreased use of emergency room and improved health. Only clinicians found challenges, which were related to traditional medical care perceptions, time and space, and interprofessional teamwork. Patients did not identify challenges related to the integrated complex care clinic. |
| Databáze: | OpenAIRE |
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