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The Literature Collection contains over 11,000 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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11269 Results
3901
Explanation and relations. How do general practitioners deal with patients with persistent medically unexplained symptoms: a focus group study
Type: Journal Article
Authors: T. C. Olde Hartman, L. J. Hassink-Franke, P. L. Lucassen, K. P. van Spaendonck, C. van Weel
Year: 2009
Publication Place: England
Abstract: BACKGROUND: Persistent presentation of medically unexplained symptoms (MUS) is troublesome for general practitioners (GPs) and causes pressure on the doctor-patient relationship. As a consequence, GPs face the problem of establishing an ongoing, preferably effective relationship with these patients. This study aims at exploring GPs' perceptions about explaining MUS to patients and about how relationships with these patients evolve over time in daily practice. METHODS: A qualitative approach, interviewing a purposive sample of twenty-two Dutch GPs within five focus groups. Data were analyzed according to the principles of constant comparative analysis. RESULTS: GPs recognise the importance of an adequate explanation of the diagnosis of MUS but often feel incapable of being able to explain it clearly to their patients. GPs therefore indicate that they try to reassure patients in non-specific ways, for example by telling patients that there is no disease, by using metaphors and by normalizing the symptoms. When patients keep returning with MUS, GPs report the importance of maintaining the doctor-patient relationship. GPs describe three different models to do this; mutual alliance characterized by ritual care (e.g. regular physical examination, regular doctor visits) with approval of the patient and the doctor, ambivalent alliance characterized by ritual care without approval of the doctor and non-alliance characterized by cutting off all reasons for encounter in which symptoms are not of somatic origin. CONCLUSION: GPs feel difficulties in explaining the symptoms. GPs report that, when patients keep presenting with MUS, they focus on maintaining the doctor-patient relationship by using ritual care. In this care they meticulously balance between maintaining a good doctor-patient relationship and the prevention of unintended consequences of unnecessary interventions.
Topic(s):
Medically Unexplained Symptoms See topic collection
3902
Explanation of somatic symptoms by mental health and personality traits: application of Bayesian regularized quantile regression in a large population study
Type: Journal Article
Authors: S. Mostafaei, K. Kabir, A. Kazemnejad, A. Feizi, M. Mansourian, Hassanzadeh Keshteli, H. Afshar, S. M. Arzaghi, Rasekhi Dehkordi, P. Adibi, F. Ghadirian
Year: 2019
Publication Place: England
Abstract:

BACKGROUND: Somatic syndrome is one of the remarkably prevalent issues in primary health care and subspecialty settings. We aimed to elucidate multidimensional associations between somatic symptoms with major mental problems and personality traits in the framework of the quantile regression model with a Bayesian approach. METHODS: A total of 4763 employees at Isfahan University of Medical Sciences and Health Services in Isfahan province, Iran, filled out four validated questionnaires including Hospital Anxiety and Depression Scale (HADS), NEO Questionnaire, General Health Questionnaire (GHQ) and PHQ-15 for somatic symptom severity. In addition, Functional Gastrointestinal Disorders (FGIDs) were determined using Rome IV criteria. Exploratory Factor Analysis (EFA) and Bayesian regularized quantile regression with adaptive LASSO penalization were applied for reduced dimension of somatic symptoms and variable selection and parameter estimation, respectively. RESULTS: The 25 major somatic symptoms were grouped into four factors including general, upper gastrointestinal, lower gastrointestinal and respiratory by EFA. Stress, depression, and anxiety had significant effects on all of the four extracted factors. The effect of anxiety in each four extracted factors was more than stress and depression. Neuroticism and agreeableness had significant effects on all of the four extracted factors, generally (p < 0.05). CONCLUSIONS: Given the high prevalence of somatic symptoms and psychosomatic complaints in correlation with the diverse range of mental co-morbidities, developing more detailed diagnostic tools and methods is crucial; nonetheless, it seems that providing better interdisciplinary approaches in general medical practice is groundwork.

Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
,
Measures See topic collection
,
Medically Unexplained Symptoms See topic collection
3903
Explication of a Behavioral Health-Primary Care Integration Learning Collaborative and Its Quality Improvement Implications
Type: Journal Article
Authors: M. Okafor, V. Ede, R. Kinuthia, D. Satcher
Year: 2018
Publication Place: United States
Abstract: In an effort to tackle fragmented care in the US healthcare delivery system, we explored the use of learning collaborative (LC) to advance integration of behavioral health and primary care as one of the potential solutions to a holistic approach to the delivery of quality healthcare to individuals with physical and mental illness. How a diverse group of primary care and behavioral health providers formed a Community of Practice (CoP) with a common purpose and shared vision to advance integrated care using a LC approach is described. An account of their learning experience, key components of their quality improvement, practice changes, clinical processes, and improved outcomes are explained. This paper aims at describing the history, creative design, processes, roles of the CoP and impact of the LC on the advancement of integrated care practice and quality improvements for further exploration and replications.
Topic(s):
General Literature See topic collection
3904
Explication of a Behavioral Health-Primary Care Integration Learning Collaborative and Its Quality Improvement Implications
Type: Journal Article
Authors: M. Okafor, V. Ede, R. Kinuthia, D. Satcher
Year: 2018
Publication Place: United States
Abstract: In an effort to tackle fragmented care in the US healthcare delivery system, we explored the use of learning collaborative (LC) to advance integration of behavioral health and primary care as one of the potential solutions to a holistic approach to the delivery of quality healthcare to individuals with physical and mental illness. How a diverse group of primary care and behavioral health providers formed a Community of Practice (CoP) with a common purpose and shared vision to advance integrated care using a LC approach is described. An account of their learning experience, key components of their quality improvement, practice changes, clinical processes, and improved outcomes are explained. This paper aims at describing the history, creative design, processes, roles of the CoP and impact of the LC on the advancement of integrated care practice and quality improvements for further exploration and replications.
Topic(s):
General Literature See topic collection
3905
Exploration of DSM-IV Criteria in Primary Care Patients With Medically Unexplained Symptoms
Type: Journal Article
Authors: Robert C. Smith, Joseph C. Gardiner, Judith S. Lyles, Corina Sirbu, Francesca C. Dwamena, Annemarie Hodges, Clare Collins, Catherine Lein, William Given, Barbara Given, John Goddeeris
Year: 2005
Publication Place: US: Lippincott Williams & Wilkins
Topic(s):
Medically Unexplained Symptoms See topic collection
3906
Exploratory economic analyses of two primary care mental health projects: Implications for sustainability
Type: Journal Article
Authors: C. Mihalopoulos, L. Kiropoulos, S. T. Shih, J. Gunn, G. Blashki, G. Meadows
Year: 2005
Publication Place: Australia
Abstract: We evaluated an Internet-based psychological intervention supported by either general practitioners or psychologists (Panic Online), and a Primary-care Evidence-based Psychological-interventions (PEP) strategy which involves training GPs to deliver specific psychological interventions. Economic modelling suggests that Panic Online is cost-effective when supported by either GPs or psychologists. Threshold analysis of the psychological training of GPs suggests that a modest effect size for clinical benefit would be sufficient to provide an acceptable cost-effectiveness ratio. The sustainability of these approaches depends on a range of factors, including funding, workforce availability, and acceptability to consumers and health care providers.
Topic(s):
Financing & Sustainability See topic collection
3907
Exploring ayahuasca‐assisted therapy for addiction: A qualitative analysis of preliminary findings among an indigenous community in Canada
Type: Journal Article
Authors: Elena Argento, Rielle Capler, Gerald Thomas, Philippe Lucas, Kenneth W. Tupper
Year: 2019
Topic(s):
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection
3908
Exploring Barriers and Facilitators to Integrating a Harm Reduction Approach to Substance Use in Three Medical Settings
Type: Journal Article
Authors: Z. Lindenfeld, H. Hagan, J. E. Chang
Year: 2023
Topic(s):
Opioids & Substance Use See topic collection
,
Education & Workforce See topic collection
3909
Exploring barriers to primary care for patients with severe mental illness: Frontline patient and provider accounts
Type: Journal Article
Authors: Erin Anne Kaufman, Michael G. McDonell, Margaret A. Cristofalo, Richard K. Ries
Year: 2012
Publication Place: US: Informa Healthcare
Topic(s):
Education & Workforce See topic collection
3910
Exploring community health center and faith-based partnerships: Community residents' perspectives.
Type: Journal Article
Authors: Kavita K. Patel, Kenneth A. Frausto, Anne D. Staunton, Janine Souffront, Kathryn Pitkin Derose
Year: 2013
Topic(s):
Healthcare Disparities See topic collection
3911
Exploring culturally based treatment options for opioid use disorders among American Indian and Alaska Native adults in California
Type: Journal Article
Authors: Ingrid Zeledon, Victoria Telles, Daniel Dickerson, Carrie Johnson, Kurt Schweigman, Amy West, Claradina Soto
Year: 2022
Topic(s):
Healthcare Disparities See topic collection
3912
Exploring gender and ethnoracial differences and trends in methamphetamine treatment
Type: Journal Article
Authors: Erick G. Guerrero, Hortensia Amaro, Yinfei Kong, Tenie Khachikian, Jeanne C. Marsh
Year: 2023
Topic(s):
Healthcare Disparities See topic collection
3914
Exploring integrative medicine for back and neck pain: On the integration of manual and complementary therapies in Swedish primary care
Type: Web Resource
Authors: Tobias Sundberg
Year: 2022
Topic(s):
Grey Literature See topic collection
,
Healthcare Disparities See topic collection
,
Measures 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.

3915
Exploring Low-Income Californians' Needs and Preferences for Behavioral Health Care
Type: Report
Authors: Langer Research Associates
Year: 2015
Publication Place: San Francisco, CA
Topic(s):
Grey Literature See topic collection
,
Healthcare Disparities See topic collection
,
Healthcare Policy 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.

3916
Exploring Medicaid Health Homes: Collaborative Care: An Evidence-Based Approach to Integrating Physical and Mental Health in Medicaid Health Homes [Video]
Type: Web Resource
Authors: Integrated Care Resources Center
Year: 2013
Topic(s):
Healthcare Policy See topic collection
,
Medical Home 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.

3919
Exploring perceptions of healthcare professionals in the implementation of a new professional role of clinical telehealth coordinator within a university integrated healthcare network
Type: Journal Article
Authors: C. Payette, J. Desrochers, M. Lavoie-Tremblay, M. C. Richer
Year: 2010
Publication Place: United States
Abstract: OBJECTIVE: As telehealth networks develop across Canada, new professional roles start to emerge. A university healthcare center part of an integrated health network has identified the need to introduce a clinical coordinator for specialized telehealth programs. However, very little is found in the current literature about the description or core competencies that such a professional should possess as well as the ways to implement this role. The objective of this study was to explore how healthcare professionals (HCPs) involved in a specialized teleoncology program perceive a new clinical telehealth coordinator (CTC) role within a university integrated healthcare network (UIHN) in a metropolitan area in Quebec, Canada. MATERIALS AND METHODS: A descriptive qualitative design was used and a purposive sample of nine HCPs, including physicians, nurses, and pharmacists who were members of a UIHN teleoncology committee, was recruited. RESULTS: The HCPs identified that the CTC was a multifaceted role. The core competencies identified by the HCPs included knowledge, expertise, and experience. Participants identified three key factors in the implementation of this role, namely, the structural support, having a common language, and making the implementation of this role relevant. CONCLUSIONS: The results suggest that this CTC role may be more complex than originally expected and that the diverse competencies suggest an expanded nature to this role. This has important implications for administrative strategies when addressing the key factors in the implementation of this role.
Topic(s):
Education & Workforce See topic collection
,
HIT & Telehealth See topic collection
3920
Exploring perspectives on changing opioid prescribing practices: A qualitative study of community stakeholders in the HEALing Communities Study
Type: Journal Article
Authors: D. M. Walker, J. E. Childerhose, S. Chen, N. Coovert, R. D. Jackson, N. Kurien, A. S. McAlearney, J. Volney, D. P. Alford, J. Bosak, D. R. Oyler, L. K. Stinson, M. Behrooz, M. C. Christopher, M. L. Drainoni
Year: 2022
Topic(s):
Education & Workforce See topic collection
,
Opioids & Substance Use See topic collection