TY - JOUR
KW - biopsychosocial
KW - primary care
KW - Psychology
AU - A. N. Koehler
AU - L. E. Sudano
AU - E. Ip
AU - S. W. Davis
AU - G. S. Marion
AU - J. K. Kirk
A1 - 
AB - In order to investigate the patient experience of integrated behavioral health care in primary care settings, we implemented a patient cohort model from a combined site sample (N = 727) consisting of a family practice clinic and a Federally Qualified Health Center. Patient experience was measured using 12 questions from a validated measure, the Agency for Healthcare Research and Quality's Consumer Assessment of Health Care Providers and Systems (CAHPS®), Home and Community Based Services version, and six additional questions about interactions with an integrated behavioral health care team. We assessed bivariate relationships between satisfaction with integration and the clinic practice and self-reported physical health or self-reported mental/emotional health. We also utilized multiple regression to evaluate this relationship. Our analyses showed a statistically significant and small to moderate direct correlation between patients' self-reported health (both physical and mental/emotional health) and their ratings of the practice as a whole (p = .0003), such that patients who rated their physical and/or mental/emotional health as better were more likely to rate their overall satisfaction with the practice higher. The results of this study suggest that primary care patients with only mild to moderate health conditions (physical and/or mental/emotional) may experience greater satisfaction with integrated behavioral health care than patients with multiple and/or severe health conditions. In contrast, patients with multiple and/or severe health conditions may experience lower satisfaction with integrated behavioral health care and may be better served through higher levels of care.
AD - Department of Family and Community Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.; Department of Family Medicine and Public Health, University of California, San Diego, CA, USA.; Department of Biostatistics and Data Science, Wake Forest School of Medicine, Winston-Salem, NC, USA.; Department of Family and Community Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.; Department of Family and Community Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.; Department of Family and Community Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.
BT - International journal of psychiatry in medicine
C5 - Education & Workforce; Healthcare Disparities; Measures
CP - 5
CY - United States
DO - 10.1177/0091217420951059
IS - 5
JF - International journal of psychiatry in medicine
LA - eng
M1 - Journal Article
N2 - In order to investigate the patient experience of integrated behavioral health care in primary care settings, we implemented a patient cohort model from a combined site sample (N = 727) consisting of a family practice clinic and a Federally Qualified Health Center. Patient experience was measured using 12 questions from a validated measure, the Agency for Healthcare Research and Quality's Consumer Assessment of Health Care Providers and Systems (CAHPS®), Home and Community Based Services version, and six additional questions about interactions with an integrated behavioral health care team. We assessed bivariate relationships between satisfaction with integration and the clinic practice and self-reported physical health or self-reported mental/emotional health. We also utilized multiple regression to evaluate this relationship. Our analyses showed a statistically significant and small to moderate direct correlation between patients' self-reported health (both physical and mental/emotional health) and their ratings of the practice as a whole (p = .0003), such that patients who rated their physical and/or mental/emotional health as better were more likely to rate their overall satisfaction with the practice higher. The results of this study suggest that primary care patients with only mild to moderate health conditions (physical and/or mental/emotional) may experience greater satisfaction with integrated behavioral health care than patients with multiple and/or severe health conditions. In contrast, patients with multiple and/or severe health conditions may experience lower satisfaction with integrated behavioral health care and may be better served through higher levels of care.
PP - United States
PY - 2020
SN - 1541-3527; 0091-2174
SP - 357
EP - 365
EP - 
T1 - Patient experience of an integrated care model in a family practice clinic & FQHC
T2 - International journal of psychiatry in medicine
TI - Patient experience of an integrated care model in a family practice clinic & FQHC
U1 - Education & Workforce; Healthcare Disparities; Measures
U2 - 32883139
U3 - 10.1177/0091217420951059
VL - 55
VO - 1541-3527; 0091-2174
Y1 - 2020
Y2 - Sep
ER -