TY - JOUR
AU - E. R. Eaves
AU - H. J. Williamson
AU - K. C. Sanderson
AU - K. Elwell
AU - R. T. Trotter
AU - J. A. Baldwin
A1 - 
AB - Successful integration of health care in rural and underserved communities requires attention to power structures, trust, and disciplinary boundaries that inhibit team-based integration of behavioral and primary health care. This paper reports on perceived successes and ongoing challenges of integrating primary and behavioral health care from the perspectives of providers, community leaders, and community members. Data collection consisted of semi-structured qualitative interviews and focus groups conducted as part of a regional health equity assessment in northern Arizona. The authors explore barriers and successes in integrating health care in rural clinics using the perspective of a social ecological framework and the mediating role of culture. Differing expectations, differing professional areas, and interpersonal interactions were primary factors challenging movement toward integrated health care. Results suggest that providers and policymakers working toward health care integration should consider culture and interpersonal interaction as dynamic mediators, particularly in underserved and rural health care contexts.
BT - Journal of health care for the poor and underserved
C5 - Healthcare Disparities
CP - 1
CY - United States
DO - 10.1353/hpu.2020.0018
IS - 1
JF - Journal of health care for the poor and underserved
M1 - Journal Article
N2 - Successful integration of health care in rural and underserved communities requires attention to power structures, trust, and disciplinary boundaries that inhibit team-based integration of behavioral and primary health care. This paper reports on perceived successes and ongoing challenges of integrating primary and behavioral health care from the perspectives of providers, community leaders, and community members. Data collection consisted of semi-structured qualitative interviews and focus groups conducted as part of a regional health equity assessment in northern Arizona. The authors explore barriers and successes in integrating health care in rural clinics using the perspective of a social ecological framework and the mediating role of culture. Differing expectations, differing professional areas, and interpersonal interactions were primary factors challenging movement toward integrated health care. Results suggest that providers and policymakers working toward health care integration should consider culture and interpersonal interaction as dynamic mediators, particularly in underserved and rural health care contexts.
PP - United States
PY - 2020
SN - 1548-6869; 1049-2089
SP - 201
EP - 217
EP - 
T1 - Integrating Behavioral and Primary Health Care in Rural Clinics: What Does Culture Have to Do with It?
T2 - Journal of health care for the poor and underserved
TI - Integrating Behavioral and Primary Health Care in Rural Clinics: What Does Culture Have to Do with It?
U1 - Healthcare Disparities
U2 - 32037327
U3 - 10.1353/hpu.2020.0018
VL - 31
VO - 1548-6869; 1049-2089
Y1 - 2020
ER -