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The Literature Collection contains over 10,000 references for published and grey literature on the integration of behavioral health and primary care. Learn More

Use the Search feature below to find references for your terms across the entire Literature Collection, or limit your searches by Authors, Keywords, or Titles and by Year, Type, or Topic. View your search results as displayed, or use the options to: Show more references per page; Sort references by Title or Date; and Refine your search criteria. Expand an individual reference to View Details. Full-text access to the literature may be available through a link to PubMed, a DOI, or a URL. References may also be exported for use in bibliographic software (e.g., EndNote, RefWorks, Zotero).

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241
Collaborative Short-Term Action to Advance America's Health
Type: Government Report
Authors: National Academy of Medicine ; Duke-Margolis Institute for Health Policy
Year: 2024
Publication Place: Washington, DC
Topic(s):
Healthcare Policy See topic collection
,
Financing & Sustainability See topic collection
,
Opioids & Substance Use See topic collection
,
Grey Literature See topic collection
Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

Download the PDF (139 KB)for Collaborative Short-Term Action to Advance America's Health
Reference Links: Download the PDF (139 KB)for Collaborative Short-Term Action to Advance America's Health
Export Citation: Download the RIS reference file for Collaborative Short-Term Action to Advance America's Health
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242
Collaborative treatment of late-life depression in primary care (GermanIMPACT): study protocol of a cluster-randomized controlled trial
Type: Journal Article
Authors: I. Wernher, F. Bjerregaard, I. Tinsel, C. Bleich, S. Boczor, T. Kloppe, M. Scherer, M. Harter, W. Niebling, H. H. Konig, M. Hull
Year: 2014
Publication Place: England
Abstract: BACKGROUND: Depression is not a normal side effect of aging, however it is one of the most prevalent mental health issues in later life, imposing a tremendous burden on patients, their families, and the healthcare system. We describe the experimental implementation of a collaborative, stepped-care model for the treatment of late-life depression (GermanIMPACT trial) in the German primary care context. GermanIMPACT was developed as an adaptation of a successful and widely used American model. The aim of the study is to evaluate the model's applicability to the German primary care setting and its cost-effectiveness. METHODS/DESIGN: The study will be conducted as a cluster-randomized controlled trial comparing the development of depressive symptoms in primary care patients who either receive treatment as usual (control arm) or treatment according to the GermanIMPACT model (intervention arm). In two German cities (Freiburg and Hamburg), a total of 60 general practice offices will be selected and randomized. Each general practice office will be asked to enroll five patients into the trial who are 60 years of age or older and who show moderate depressive symptoms in the scope of a diagnosed depressive episode, recurrent depressive disorder, or dysthymia. General practices in the control arm will provide treatment as usual; general practices in the intervention arm will work closely with a specially trained care manager and a supervising mental health specialist. Evidence-based elements of the treatment plan manual include patient education, identification and integration of positive activities into the daily routine, relapse prevention, and training of problem-solving techniques as needed. The intervention period per patient will be one year. Data will be collected at baseline, 6, and 12 months. Primary outcome is the patient-reported change of depressive symptoms (Patient Health Questionnaire, PHQ-9). Secondary outcomes include measures of quality of life, anxiety, depression-related behavior, problem-solving skills, resilience, and an overall economic evaluation of the program. DISCUSSION: The GermanIMPACT trial will provide evidence about the effectiveness, feasibility, and cost-effectiveness of collaborative stepped care in treating late-life depression in German primary care. Positive results will be a first step toward integrating specialized depression care managers into the primary care setting. TRIAL REGISTRATION: German Clinical Trials Register: DRKS00003589 (September 2012).
Topic(s):
Financing & Sustainability See topic collection
,
Healthcare Disparities See topic collection
View the PubMed citation for Collaborative treatment of late-life depression in primary care (GermanIMPACT): study protocol of a cluster-randomized controlled trialPubmed
Reference Links:
View the DOI record for Collaborative treatment of late-life depression in primary care (GermanIMPACT): study protocol of a cluster-randomized controlled trial View DOI Record
      View the PubMed citation for Collaborative treatment of late-life depression in primary care (GermanIMPACT): study protocol of a cluster-randomized controlled trialPubmed
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243
Colorado State Innovation Model (SIM) project: Health care provider workgroup. Report: Meeting three
Type: Report
Year: 2013
Abstract: At this third and final meeting of the SIM provider stakeholder group, 21 participants representing behavioral and physical health providers, state government, practice transition specialists and academic institutions focused on three main topics.
Topic(s):
Education & Workforce See topic collection
,
Financing & Sustainability See topic collection
,
Healthcare Policy See topic collection
,
Grey Literature See topic collection
Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

Download the PDF (221.17 KB)for Colorado State Innovation Model (SIM) project: Health care provider workgroup. Report: Meeting three
Reference Links: Download the PDF (221.17 KB)for Colorado State Innovation Model (SIM) project: Health care provider workgroup. Report: Meeting three
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244
Colorado State Innovation Model (SIM) project: Health care provider workgroup. Report: Meeting one
Type: Government Report
Year: 2013
Abstract: Processing and sharing electronic medical information in real time. A right-sized health care workforce with the latest and best training. State and federal regulations that smooth innovation rather than block it. Payment systems that do the same. A clear picture of the state's current health care landscape and measurable indicators to chart its progress.These were top-of-mind thoughts and ideas, among many others, that emerged when a group of health care providers gathered for the first time in June to discuss the Colorado Health Care Innovation Plan. The health care provider workgroup is part of the stakeholder process supporting the State Innovation Model (SIM) project. After two more meetings, the group's goal is to make its final recommendations and sign off on Colorado's strategic plan.
Topic(s):
Education & Workforce See topic collection
,
Financing & Sustainability See topic collection
,
HIT & Telehealth See topic collection
,
Healthcare Policy See topic collection
,
Grey Literature See topic collection
Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

Download the PDF (232.52 KB)for Colorado State Innovation Model (SIM) project: Health care provider workgroup. Report: Meeting one
Reference Links: Download the PDF (232.52 KB)for Colorado State Innovation Model (SIM) project: Health care provider workgroup. Report: Meeting one
Export Citation: Download the RIS reference file for Colorado State Innovation Model (SIM) project: Health care provider workgroup. Report: Meeting one
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245
Colorado State Innovation Model (SIM) project: Health care provider workgroup. Report: Meeting two
Type: Report
Year: 2013
Abstract: The big job of integrating physical and behavioral health care must start somewhere - with one behavioral provider on staff, perhaps. Integration must be manageable for health care providers, with specific goals, ongoing training programs and clear measurements of progress. It must be communicated effectively to patients. And payment models must support the flexibility needed to make integration happen.These were overarching themes identified by a group of health care providers meeting to contribute expertise to the Colorado Health Care Innovation Plan, which focuses on integrating physical and behavioral health care in Colorado. At the foundation of the recommendations, however, was a recognition that integration is an important part of creating a system that delivers great care at more sustainable costs.
Topic(s):
Education & Workforce See topic collection
,
Financing & Sustainability See topic collection
,
Grey Literature See topic collection
Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

Download the PDF (243.71 KB)for Colorado State Innovation Model (SIM) project: Health care provider workgroup. Report: Meeting two
Reference Links: Download the PDF (243.71 KB)for Colorado State Innovation Model (SIM) project: Health care provider workgroup. Report: Meeting two
Export Citation: Download the RIS reference file for Colorado State Innovation Model (SIM) project: Health care provider workgroup. Report: Meeting two
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246
Colorado's State Health Innovation Plan
Type: Government Report
Year: 2013
Publication Place: Denver, CO
Topic(s):
Education & Workforce See topic collection
,
Financing & Sustainability See topic collection
,
HIT & Telehealth See topic collection
,
Healthcare Policy See topic collection
,
Grey Literature See topic collection
Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

Download the PDF (3.9 MB)for Colorado's State Health Innovation Plan
Reference Links: Download the PDF (3.9 MB)for Colorado's State Health Innovation Plan
Export Citation: Download the RIS reference file for Colorado's State Health Innovation Plan
View details
247
Commentary: an economic perspective on implementing evidence-based depression care
Type: Journal Article
Authors: C. L. Barry, R. G. Frank
Year: 2006
Topic(s):
Financing & Sustainability See topic collection
Export Citation: Download the RIS reference file for Commentary: an economic perspective on implementing evidence-based depression care
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248
Commercial Health Plan Coverage of Selected Treatments for Opioid Use Disorders from 2003 to 2014
Type: Journal Article
Authors: Sharon Reif, Timothy B. Creedon, Constance M. Horgan, Maureen T. Stewart, Deborah W. Garnick
Year: 2017
Publication Place: United States
Abstract:

Opioid use disorders (OUDs) are receiving significant attention in the U.S. as a public health crisis. Access to treatment for OUDs is essential and was expected to improve following implementation of the federal parity law and the Affordable Care Act. This study examines changes in coverage and management of treatments for OUDs (opioid treatment programs (OTPs) as a covered service benefit, buprenorphine as a pharmacy benefit) before, during, and after parity and ACA implementation. Data are from three rounds of a nationally representative survey conducted with commercial health plans regarding behavioral health services in benefit years 2003, 2010, and 2014. Data were weighted to be representative of health plans' commercial products in the continental United States (2003 weighted N = 7,469, 83% response rate; 2010 N = 8,431, 89% response rate; and 2014 N = 6,974, 80% response rate). Results showed treatment for OUDs was covered by nearly all health plan products in each year of the survey, but the types and patterns varied by year. Prior authorization requirements for OTPs have decreased over time. Despite the promise of expanded access to OUD treatment suggested by parity and the ACA, improved health plan coverage for treatment of OUDs, while essential, is not sufficient to address the opioid crisis.

Topic(s):
Financing & Sustainability See topic collection
,
Healthcare Policy See topic collection
,
Opioids & Substance Use See topic collection
View the PubMed citation for Commercial Health Plan Coverage of Selected Treatments for Opioid Use Disorders from 2003 to 2014Pubmed
Reference Links:
View the DOI record for Commercial Health Plan Coverage of Selected Treatments for Opioid Use Disorders from 2003 to 2014 View DOI Record
      View the PubMed citation for Commercial Health Plan Coverage of Selected Treatments for Opioid Use Disorders from 2003 to 2014Pubmed
Export Citation: Download the RIS reference file for Commercial Health Plan Coverage of Selected Treatments for Opioid Use Disorders from 2003 to 2014
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249
Common symptoms in ambulatory care: Incidence, evaluation, therapy, and outcome
Type: Journal Article
Authors: K. Kroenke, A. D. Mangelsdorff
Year: 1989
Publication Place: UNITED STATES
Abstract: PURPOSE AND PATIENTS AND METHODS: Many symptoms in outpatient practice are poorly understood. To determine the incidence, diagnostic findings, and outcome of 14 common symptoms, we reviewed the records of 1,000 patients followed by house staff in an internal medicine clinic over a three-year period. The following data were abstracted for each symptom: patient characteristics, symptom duration, evaluation, suspected etiology of the symptom, treatment prescribed, and outcome of the symptom. Cost estimates for diagnostic evaluation were calculated by means of the schedule of prevailing rates for Texas employed by the Civilian Health and Medical Program of the Uniformed Services for physician reimbursement. RESULTS: A total of 567 new complaints of chest pain, fatigue, dizziness, headache, edema, back pain, dyspnea, insomnia, abdominal pain, numbness, impotence, weight loss, cough, and constipation were noted, with 38 percent of the patients reporting at least one symptom. Although diagnostic testing was performed in more than two thirds of the cases, an organic etiology was demonstrated in only 16 percent. The cost of discovering an organic diagnosis was high, particularly for certain symptoms, such as headache ($7,778) and back pain ($7,263). Treatment was provided for only 55 percent of the symptoms and was often ineffective. Where outcome was documented, 164 (53 percent) of 307 symptoms improved. Three favorable prognostic factors were an organic etiology (p = 0.006), a symptom duration of less than four months (p = 0.009), and a history of two or fewer symptoms (p = 0.001). CONCLUSION: The classification, evaluation, and management of common symptoms need to be refined. Diagnostic strategies emphasizing organic causes may be inadequate.
Topic(s):
Financing & Sustainability See topic collection
,
Key & Foundational See topic collection
View the PubMed citation for Common symptoms in ambulatory care: Incidence, evaluation, therapy, and outcomePubmed
Reference Links: View the PubMed citation for Common symptoms in ambulatory care: Incidence, evaluation, therapy, and outcomePubmed
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250
Community Health Workers Bring Cost Savings to Patient-Centered Medical Homes
Type: Journal Article
Authors: M. L. Moffett, A. Kaufman, A. Bazemore
Year: 2018
Publication Place: Netherlands
Abstract: The Patient-Centered Medical Home (PCMH) model demonstrated that processes of care can be improved while unnecessary care, such as preventable emergency department utilization, can be reduced through better care coordination. A complementary model, the Integrated Primary Care and Community Support (I-PaCS) model, which integrates community health workers (CHWs) into primary care settings, functions beyond improved coordination of primary medical care to include management of the social determinants of health. However, the PCMH model puts downward pressure on the panel sizes of primary care providers, increasing the average fixed costs of care at the practice level. While the I-PaCS model layers an additional cost of the CHWs into the primary care cost structure, that additional costs is relatively small. The purpose of this study is to simulate the effects of the PCMH and I-PaCS models over a 3-year period to account for program initiation to maturity. The costs and cost offsets of the model were estimated at the clinic practice level. The studies which find the largest cost savings are for high-risk, paneled patients and therefore do not represent the effects of the PCMH model on moderate-utilizing patients or practice-level effects. We modeled a 12.6% decrease in the inpatient hospital, outpatient hospital and emergency department costs of high and moderate risk patients. The PCMH is expected to realize a 1.7% annual savings by year three while the I-PaCS program is expected to a 7.1% savings in the third year. The two models are complementary, the I-PaCS program enhancing the cost reduction capability of the PCMH.
Topic(s):
Financing & Sustainability See topic collection
,
Medical Home See topic collection
View the PubMed citation for Community Health Workers Bring Cost Savings to Patient-Centered Medical HomesPubmed
Reference Links:
View the DOI record for Community Health Workers Bring Cost Savings to Patient-Centered Medical Homes View DOI Record
      View the PubMed citation for Community Health Workers Bring Cost Savings to Patient-Centered Medical HomesPubmed
Export Citation: Download the RIS reference file for Community Health Workers Bring Cost Savings to Patient-Centered Medical Homes
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251
Community Health Workers Bring Cost Savings to Patient-Centered Medical Homes
Type: Journal Article
Authors: M. L. Moffett, A. Kaufman, A. Bazemore
Year: 2018
Publication Place: Netherlands
Abstract: The Patient-Centered Medical Home (PCMH) model demonstrated that processes of care can be improved while unnecessary care, such as preventable emergency department utilization, can be reduced through better care coordination. A complementary model, the Integrated Primary Care and Community Support (I-PaCS) model, which integrates community health workers (CHWs) into primary care settings, functions beyond improved coordination of primary medical care to include management of the social determinants of health. However, the PCMH model puts downward pressure on the panel sizes of primary care providers, increasing the average fixed costs of care at the practice level. While the I-PaCS model layers an additional cost of the CHWs into the primary care cost structure, that additional costs is relatively small. The purpose of this study is to simulate the effects of the PCMH and I-PaCS models over a 3-year period to account for program initiation to maturity. The costs and cost offsets of the model were estimated at the clinic practice level. The studies which find the largest cost savings are for high-risk, paneled patients and therefore do not represent the effects of the PCMH model on moderate-utilizing patients or practice-level effects. We modeled a 12.6% decrease in the inpatient hospital, outpatient hospital and emergency department costs of high and moderate risk patients. The PCMH is expected to realize a 1.7% annual savings by year three while the I-PaCS program is expected to a 7.1% savings in the third year. The two models are complementary, the I-PaCS program enhancing the cost reduction capability of the PCMH.
Topic(s):
Financing & Sustainability See topic collection
,
Medical Home See topic collection
View the PubMed citation for Community Health Workers Bring Cost Savings to Patient-Centered Medical HomesPubmed
Reference Links:
View the DOI record for Community Health Workers Bring Cost Savings to Patient-Centered Medical Homes View DOI Record
      View the PubMed citation for Community Health Workers Bring Cost Savings to Patient-Centered Medical HomesPubmed
Export Citation: Download the RIS reference file for Community Health Workers Bring Cost Savings to Patient-Centered Medical Homes
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252
Community MH agencies prepare for primary care integration funding
Type: Journal Article
Year: 2009
Publication Place: URL
Topic(s):
Financing & Sustainability See topic collection
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253
Comparative prices of diverted buprenorphine/naloxone and buprenorphine in a UK prison setting: A cross-sectional survey of drug using prisoners
Type: Journal Article
Authors: Nat MJ Wright, Zanib Mohammed, Gareth J. Hughes
Year: 2014
Publication Place: Lausanne
Topic(s):
Opioids & Substance Use See topic collection
,
Financing & Sustainability See topic collection
,
Healthcare Disparities See topic collection
Export Citation: Download the RIS reference file for Comparative prices of diverted buprenorphine/naloxone and buprenorphine in a UK prison setting: A cross-sectional survey of drug using prisoners
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254
Comparing patients' and other stakeholders' preferences for outcomes of integrated care for multimorbidity: a discrete choice experiment in eight European countries
Type: Journal Article
Authors: Rutten- van Mölken, M. Karimi, F. Leijten, M. Hoedemakers, W. Looman, K. Islam, J. E. Askildsen, M. Kraus, D. Ercevic, V. Struckmann, Gyorgy Pitter, I. Cano, J. Stokes, M. Jonker, SELFIE consortium
Year: 2020
Topic(s):
Education & Workforce See topic collection
,
Financing & Sustainability See topic collection
,
Healthcare Disparities See topic collection
View the PubMed citation for Comparing patients' and other stakeholders' preferences for outcomes of integrated care for multimorbidity: a discrete choice experiment in eight European countriesPubmed
Reference Links:
View the DOI record for Comparing patients' and other stakeholders' preferences for outcomes of integrated care for multimorbidity: a discrete choice experiment in eight European countries View DOI Record
      View the PubMed citation for Comparing patients' and other stakeholders' preferences for outcomes of integrated care for multimorbidity: a discrete choice experiment in eight European countriesPubmed
Export Citation: Download the RIS reference file for Comparing patients' and other stakeholders' preferences for outcomes of integrated care for multimorbidity: a discrete choice experiment in eight European countries
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255
Comparing telemedicine to in-person buprenorphine treatment in U.S. veterans with opioid use disorder
Type: Journal Article
Authors: L. A. Lin, J. C. Fortney, A. S. B. Bohnert, L. N. Coughlin, L. Zhang, J. D. Piette
Year: 2022
Abstract:

BACKGROUND: Telemedicine-delivered buprenorphine (tele-buprenorphine) can potentially increase access to buprenorphine for patients with opioid use disorder (OUD), especially during the COVID-19 pandemic, but we know little about use in clinical care. METHODS: This study was a retrospective national cohort study of veterans diagnosed with opioid use disorder (OUD) receiving buprenorphine treatment from the Veterans Health Administration (VHA) in fiscal years 2012-2019. The study examined trends in use of tele-buprenorphine and compared demographic and clinical characteristics in patients who received tele-buprenorphine versus those who received in-person treatment only. RESULTS: Utilization of tele-buprenorphine increased from 2.29% of buprenorphine patients in FY2012 (n = 187) to 7.96% (n = 1352) in FY2019 in VHA veterans nationally. Compared to patients receiving only in-person care, tele-buprenorphine patients were less likely to be male (AOR = 0.85, 95% CI: 0.73-0.98) or Black (AOR = 0.54, 95% CI: 0.45-0.65). Tele-buprenorphine patients were more likely to be treated in community-based outpatient clinics rather than large medical centers (AOR = 2.91, 95% CI: 2.67-3.17) and to live in rural areas (AOR = 2.12, 95% CI:1.92-2.35). The median days supplied of buprenorphine treatment was 722 (interquartile range: 322-1459) among the tele-buprenorphine patients compared to 295 (interquartile range: 67-854) among patients who received treatment in-person. CONCLUSIONS: Use of telemedicine to deliver buprenorphine treatment in VHA increased 3.5-fold between 2012 and 2019, though overall use remained low prior to COVID-19. Tele-buprenorphine is a promising modality especially when treatment access is limited. However, we must continue to understand how practitioners and patient are using telemedicine and how these patients' outcomes compare to those using in-person care.

Topic(s):
Financing & Sustainability See topic collection
,
Healthcare Disparities See topic collection
,
HIT & Telehealth See topic collection
,
Opioids & Substance Use See topic collection
View the PubMed citation for Comparing telemedicine to in-person buprenorphine treatment in U.S. veterans with opioid use disorderPubmed
Reference Links:
View the DOI record for Comparing telemedicine to in-person buprenorphine treatment in U.S. veterans with opioid use disorder View DOI Record
      View the PubMed citation for Comparing telemedicine to in-person buprenorphine treatment in U.S. veterans with opioid use disorderPubmed
Export Citation: Download the RIS reference file for Comparing telemedicine to in-person buprenorphine treatment in U.S. veterans with opioid use disorder
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256
Comparison of Medicaid reimbursements for psychiatrists and primary care physicians
Type: Journal Article
Authors: Tami L. Mark, William Parish, Gary A. Zarkin, Ellen Weber
Year: 2020
Topic(s):
Education & Workforce See topic collection
,
Financing & Sustainability See topic collection
Reference Links:
View the DOI record for Comparison of Medicaid reimbursements for psychiatrists and primary care physicians View DOI Record
      
Export Citation: Download the RIS reference file for Comparison of Medicaid reimbursements for psychiatrists and primary care physicians
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257
Competition for providing onsite health care is heated
Type: Journal Article
Authors: David Weber
Year: 2009
Topic(s):
Financing & Sustainability See topic collection
Export Citation: Download the RIS reference file for Competition for providing onsite health care is heated
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258
Competition, adherence, and racial and ethnic disparities in the medication-assisted treatment market for opioid use disorder
Type: Web Resource
Authors: Jason Brian Gibbons
Year: 2022
Topic(s):
Grey Literature See topic collection
,
Financing & Sustainability See topic collection
,
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection
Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

Export Citation: Download the RIS reference file for Competition, adherence, and racial and ethnic disparities in the medication-assisted treatment market for opioid use disorder
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259
Complexity in partnerships: A qualitative examination of collaborative depression care in primary care clinics and community-based organisations in California, United States
Type: Journal Article
Authors: S. Henderson, J. L. Wagner, M. M. Gosdin, T. J. Hoeft, J. Unutzer, L. Rath, L. Hinton
Year: 2020
Publication Place: England
Abstract: Partnering across health clinics and community organisations, while worthwhile for improving health and well-being, is challenging and time consuming. Even partnerships that have essential elements for success in place face inevitable challenges. To better understand how cross-organisational partnerships work in practice, this paper examines collaborations between six primary care clinics and community-based organisations in the United States that were part of an initiative to address late-life depression using an enhanced collaborative care model (Archstone Foundation Care Partners Project). As part of an evaluation of the Care Partners Project, 54 key informant interviews and 10 focus groups were conducted from 2015 to 2017. Additionally, more than 80 project-related documents were reviewed. Qualitative thematic analysis was used to code the transcripts and identify prominent themes in the data. Examining clinic and community organisation partnerships in practice highlighted their inherent complexity. The partnerships were fluid and constantly evolving, shaped by a multiplicity of perspectives and values, and vulnerable to unpredictability. Care Partners sites negotiated the complexity of their partnerships drawing upon three main strategies: adaptation (allowing for flexibility and rapid change); integration (providing opportunities for multi-level partnerships within and across organisations) and cultivation (fostering a commitment to the partnership and its value). These strategies provided opportunities for Care Partners collaborators to work with the inherent complexity of partnering. Intentionally acknowledging and embracing such complexity rather than trying to reduce or avoid it, may allow clinic and community collaborators to strengthen and sustain their partnerships.
Topic(s):
Financing & Sustainability See topic collection
View the PubMed citation for Complexity in partnerships: A qualitative examination of collaborative depression care in primary care clinics and community-based organisations in California, United StatesPubmed
Reference Links:
View the DOI record for Complexity in partnerships: A qualitative examination of collaborative depression care in primary care clinics and community-based organisations in California, United States View DOI Record
      View the PubMed citation for Complexity in partnerships: A qualitative examination of collaborative depression care in primary care clinics and community-based organisations in California, United StatesPubmed
Export Citation: Download the RIS reference file for Complexity in partnerships: A qualitative examination of collaborative depression care in primary care clinics and community-based organisations in California, United States
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260
Complexity in partnerships: A qualitative examination of collaborative depression care in primary care clinics and community-based organisations in California, United States
Type: Journal Article
Authors: S. Henderson, J. L. Wagner, M. M. Gosdin, T. J. Hoeft, J. Unutzer, L. Rath, L. Hinton
Year: 2020
Publication Place: England
Abstract: Partnering across health clinics and community organisations, while worthwhile for improving health and well-being, is challenging and time consuming. Even partnerships that have essential elements for success in place face inevitable challenges. To better understand how cross-organisational partnerships work in practice, this paper examines collaborations between six primary care clinics and community-based organisations in the United States that were part of an initiative to address late-life depression using an enhanced collaborative care model (Archstone Foundation Care Partners Project). As part of an evaluation of the Care Partners Project, 54 key informant interviews and 10 focus groups were conducted from 2015 to 2017. Additionally, more than 80 project-related documents were reviewed. Qualitative thematic analysis was used to code the transcripts and identify prominent themes in the data. Examining clinic and community organisation partnerships in practice highlighted their inherent complexity. The partnerships were fluid and constantly evolving, shaped by a multiplicity of perspectives and values, and vulnerable to unpredictability. Care Partners sites negotiated the complexity of their partnerships drawing upon three main strategies: adaptation (allowing for flexibility and rapid change); integration (providing opportunities for multi-level partnerships within and across organisations) and cultivation (fostering a commitment to the partnership and its value). These strategies provided opportunities for Care Partners collaborators to work with the inherent complexity of partnering. Intentionally acknowledging and embracing such complexity rather than trying to reduce or avoid it, may allow clinic and community collaborators to strengthen and sustain their partnerships.
Topic(s):
Financing & Sustainability See topic collection
View the PubMed citation for Complexity in partnerships: A qualitative examination of collaborative depression care in primary care clinics and community-based organisations in California, United StatesPubmed
Reference Links:
View the DOI record for Complexity in partnerships: A qualitative examination of collaborative depression care in primary care clinics and community-based organisations in California, United States View DOI Record
      View the PubMed citation for Complexity in partnerships: A qualitative examination of collaborative depression care in primary care clinics and community-based organisations in California, United StatesPubmed
Export Citation: Download the RIS reference file for Complexity in partnerships: A qualitative examination of collaborative depression care in primary care clinics and community-based organisations in California, United States
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