TY - JOUR
AU - B. Wright
AU - L. Broffman
AU - K. A. McMenamin
AU - K. Jones
AU - M. Weller
AU - K. Brown
AU - L. Jacobson
AU - N. Bouranis
AU - N. R. Kenton
A1 - 
AB - Research on behavioral health integration (BHI) often explores outcomes for quality and cost, but less is known about impacts of integration work on key patient experience outcomes. A mixed-methods longitudinal study of BHI was conducted in 12 primary care clinics in Oregon to assess how adoption of key integration practices including integrated staffing models, integrated care trainings for providers, and integrated data sharing impacted a set of patient experience outcomes selected and prioritized by an advisory panel of active patients. Results showed that adopting key aspects of integration was not associated with improved patient experience outcomes over time. Patient interviews highlighted several potential reasons why, including an overemphasis by health systems on the structural aspects of integration versus the experiential components and potential concerns among patients about stigma and discrimination in the primary care settings where integration is focused.
AD - Center for Outcomes Research and Education, Providence Health & Services, 5251 NE Glisan St, Portland, OR, 97213, USA.; Ro, New York, USA.; Center for Outcomes Research and Education, Providence Health & Services, 5251 NE Glisan St, Portland, OR, 97213, USA.; Center for Outcomes Research and Education, Providence Health & Services, 5251 NE Glisan St, Portland, OR, 97213, USA.; Center for Outcomes Research and Education, Providence Health & Services, 5251 NE Glisan St, Portland, OR, 97213, USA.; Center for Outcomes Research and Education, Providence Health & Services, 5251 NE Glisan St, Portland, OR, 97213, USA.; OHSU-PSU School of Public Health, 506 SW Mill St, Portland, OR, 97201, USA.; OHSU-PSU School of Public Health, 506 SW Mill St, Portland, OR, 97201, USA.; Center for Outcomes Research and Education, Providence Health & Services, 5251 NE Glisan St, Portland, OR, 97213, USA. Natalie.Kenton@providence.org.
BT - The journal of behavioral health services & research
C5 - General Literature
CY - United States
DO - 10.1007/s11414-020-09691-8
JF - The journal of behavioral health services & research
M1 - Journal Article
N2 - Research on behavioral health integration (BHI) often explores outcomes for quality and cost, but less is known about impacts of integration work on key patient experience outcomes. A mixed-methods longitudinal study of BHI was conducted in 12 primary care clinics in Oregon to assess how adoption of key integration practices including integrated staffing models, integrated care trainings for providers, and integrated data sharing impacted a set of patient experience outcomes selected and prioritized by an advisory panel of active patients. Results showed that adopting key aspects of integration was not associated with improved patient experience outcomes over time. Patient interviews highlighted several potential reasons why, including an overemphasis by health systems on the structural aspects of integration versus the experiential components and potential concerns among patients about stigma and discrimination in the primary care settings where integration is focused.
PP - United States
PY - 2020
SN - 1556-3308; 1094-3412
T1 - Behavioral Health Integration and Outcomes that Matter to Patients: a Longitudinal Mixed-Methods Observational Study
T2 - The journal of behavioral health services & research
TI - Behavioral Health Integration and Outcomes that Matter to Patients: a Longitudinal Mixed-Methods Observational Study
U1 - General Literature
U2 - 32076948
U3 - 10.1007/s11414-020-09691-8
VO - 1556-3308; 1094-3412
Y1 - 2020
Y2 - Feb 19
ER -