دورية أكاديمية
Improving medical residents' utilisation of integrated mental health in primary care.
| العنوان: | Improving medical residents' utilisation of integrated mental health in primary care. |
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| المؤلفون: | Palladino J; Psychiatry and Behavioral Health, Stony Brook University, Commack, New York, USA jenna.palladino@stonybrookmedicine.edu., Frum-Vassallo D; Psychology Service, Northport VA Medical Center, Northport, New York, USA., Taylor JD; Psychology Service, Northport VA Medical Center, Northport, New York, USA., Webb VL; Main Line Therapy and Psychological Services, LLC, Wayne, Pennsylvania, USA. |
| المصدر: | BMJ open quality [BMJ Open Qual] 2021 Aug; Vol. 10 (3). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BMJ Publishing Group Country of Publication: England NLM ID: 101710381 Publication Model: Print Cited Medium: Internet ISSN: 2399-6641 (Electronic) Linking ISSN: 23996641 NLM ISO Abbreviation: BMJ Open Qual Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BMJ Publishing Group |
| مواضيع طبية MeSH: | Internship and Residency* , Mental Health Services*, Humans ; Mental Health ; Primary Health Care ; United States ; United States Department of Veterans Affairs |
| مستخلص: | Background: Integration of mental health services allows for improved prevention and management of chronic conditions within the primary care setting. This quality improvement project aimed to increase adherence to and functioning of an integrated care model within a patient-centred medical home. Specifically, the project focused on improving collaboration between Primary Care Mental Health Integration (PC-MHI) and the medical resident Patient Aligned Care Teams (PACT) at a Veterans Affairs Medical Center in Northport,New York (VAMC Northport). Method: The project used increased education, training and relationship building among the medical resident PACTs, and the establishment of regularly occurring integrated team meetings for medical and mental health providers. Education of residents was measured with a self-assessment pre-training and post-training, while utilisation was measured by the percentage of patients currently on a PACT's panel with at least one PC-MHI encounter in the last 12 months (known in VAMC Northport as PACT-15 metric). Results: Two resident PACTs that received both training and weekly integrated meetings increased their utilisation of integrated mental health services by 3.8% and 4.5%, respectively. PACTs that participated in training only, with no regular meetings, showed an initial improvement in utilisation that declined over time. Conclusions: Training alone appeared beneficial but insufficient for increased integration over time. The addition of a regularly occurring integrated weekly meeting may be a critical component of facilitating sustained mental health integration in a primary care medical home model. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.) |
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| فهرسة مساهمة: | Keywords: PDSA; healthcare quality improvement; mental health; primary care |
| تواريخ الأحداث: | Date Created: 20210825 Date Completed: 20210929 Latest Revision: 20210929 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC8386211 |
| DOI: | 10.1136/bmjoq-2021-001388 |
| PMID: | 34429300 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2399-6641 |
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| DOI: | 10.1136/bmjoq-2021-001388 |