TY - JOUR
KW - Behavioral Medicine
KW - Delivery of Health Care, Integrated
KW - Delivery of Health Care/standards
KW - Empirical Research
KW - Evidence-Based Medicine
KW - Humans
KW - Patient Care Team
KW - Primary Health Care/organization & administration
KW - Referral and Consultation
KW - Terminology as Topic
KW - United States
AU - B. F. Miller
AU - T. J. Mendenhall
AU - A. D. Malik
A1 - 
AB - Integrating behavioral health services within the primary care setting drives higher levels of collaborative care, and is proving to be an essential part of the solution for our struggling American healthcare system. However, justification for implementing and sustaining integrated and collaborative care has shown to be a formidable task. In an attempt to move beyond conflicting terminology found in the literature, we delineate terms and suggest a standardized nomenclature. Further, we maintain that addressing the three principal worlds of healthcare (clinical, operational, financial) is requisite in making sense of the spectrum of available implementations and ultimately transitioning collaborative care into the mainstream. Using a model that deconstructs process metrics into factors/barriers and generalizes behavioral health provider roles into major categories provides a framework to empirically discriminate between implementations across specific settings. This approach offers practical guidelines for care sites implementing integrated and collaborative care and defines a research framework to produce the evidence required for the aforementioned clinical, operational and financial worlds of this important movement.
BT - Journal of clinical psychology in medical settings
C5 - Financing & Sustainability; Key & Foundational
CP - 1
CY - United States
DO - 10.1007/s10880-008-9137-4
IS - 1
JF - Journal of clinical psychology in medical settings
N2 - Integrating behavioral health services within the primary care setting drives higher levels of collaborative care, and is proving to be an essential part of the solution for our struggling American healthcare system. However, justification for implementing and sustaining integrated and collaborative care has shown to be a formidable task. In an attempt to move beyond conflicting terminology found in the literature, we delineate terms and suggest a standardized nomenclature. Further, we maintain that addressing the three principal worlds of healthcare (clinical, operational, financial) is requisite in making sense of the spectrum of available implementations and ultimately transitioning collaborative care into the mainstream. Using a model that deconstructs process metrics into factors/barriers and generalizes behavioral health provider roles into major categories provides a framework to empirically discriminate between implementations across specific settings. This approach offers practical guidelines for care sites implementing integrated and collaborative care and defines a research framework to produce the evidence required for the aforementioned clinical, operational and financial worlds of this important movement.
PP - United States
PY - 2009
SN - 1573-3572; 1068-9583
SP - 21
EP - 30
EP - 
T1 - Integrated primary care: an inclusive three-world view through process metrics and empirical discrimination
T2 - Journal of clinical psychology in medical settings
TI - Integrated primary care: an inclusive three-world view through process metrics and empirical discrimination
U1 - Financing & Sustainability; Key & Foundational
U2 - 19294518
U3 - 10.1007/s10880-008-9137-4
VL - 16
VO - 1573-3572; 1068-9583
Y1 - 2009
ER -