Email UpdatesLiterature Collection
Collection Insights
10K+
References
9K+
Articles
1400+
Grey Literature
4500+
Opioids & SU
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).
10858 Results
6964
Patient-reported measures of psychosocial issues and health behavior should be added to electronic health records
Type: Journal Article
Year: 2012
Publication Place: United States
Abstract: Recent legislation and delivery system reform efforts are greatly expanding the use of electronic health records. For these efforts to reach their full potential, they must actively involve patients and include patient-reported information about such topics as health behavior, preferences, and psychosocial functioning. We offer a plan for including standardized, practical patient-reported measures as part of electronic health records, quality and performance indexes, the primary care medical home, and research collaborations. These measures must meet certain criteria, including being valid, reliable, sensitive to change, and available in multiple languages. Clinicians, patients, and policy makers also must be able to understand the measures and take action based on them. Including more patient-reported items in electronic health records would enhance health, patient-centered care, and the capacity to undertake population-based research.
Topic(s):
HIT & Telehealth
See topic collection
Reference Links: 
View the DOI record for Patient-reported measures of psychosocial issues and health behavior should be added to electronic health records
View DOI Record
View the PubMed citation for Patient-reported measures of psychosocial issues and health behavior should be added to electronic health records6965
Patient-reported outcome measures for monitoring primary care patients with depression: PROMDEP feasibility randomised trial
Type: Journal Article
Year: 2017
Publication Place: England
Abstract: OBJECTIVES: To determine the feasibility of a trial of patient-reported outcome measures (PROMs) for monitoring primary care patients with depression. DESIGN: Partly individually randomised, partly cluster-randomised controlled trial. SETTING: Nine general practices in Southern England. PARTICIPANTS: 47 adults with new episodes of depression: 22 intervention, 25 control. RANDOMISATION: Remote computerised sequence generation and allocation. INTERVENTIONS: Patient Health Questionnaire, Distress Thermometer Analogue Scale and PSYCHLOPS problem profile for monitoring depression, following diagnosis and at 10-35 days later. Feedback of scores to patients was determined by practitioners. BLINDING: Non-blinded, using self-completed measures. PRIMARY OUTCOME: Beck Depression Inventory (BDI-II). SECONDARY OUTCOME MEASURES: Work and Social Adjustment Scale (WSAS), EuroQol Five-item, Five-level (EQ-5D-5L) Scale for quality of life, modified Client Service Receipt Inventory for costs, Medical Informant Satisfaction Scale (MISS), qualitative interviews with 14 patients and 13 practice staff about feasibility and acceptability of trial design. RESULTS: Three practices failed to recruit the target of six patients in 12 months. Follow-up rates were intervention patients: 18 (82%) at 12 weeks and 15 (68%) at 26 weeks; controls: 18 (72%) and 15 (60%), respectively. At 12 weeks, mean BDI-II score was lower among intervention group patients than controls by 5.8 points (95% CI -11.1 to -0.5), adjusted for baseline differences and clustering. WSAS scores were not significantly different. At 26 weeks, there were no significant differences in symptoms, social functioning, quality of life or costs, but mean satisfaction score was higher among controls by 22.0 points (95% CI -40.7 to -3.29). Intervention patients liked completing PROMs, but were disappointed when practitioners did not use the results to inform management. CONCLUSIONS: PROMs may improve depression outcome in the short term, even if PROM scores do not inform practitioners' management. Challenges in recruiting and following up patients need addressing for a definitive trial of relatively brief measures which can potentially inform management. https://www.isrctn.com/search?q=97492541 TRIAL REGISTRATION NUMBER: ISRCTN 97492541; Pre-results.
Topic(s):
General Literature
See topic collection
6968
Patient, Primary Care Provider, and Specialist Perspectives on Specialty Care Coordination in an Integrated Health Care System
Type: Journal Article
Year: 2018
Publication Place: United States
Topic(s):
Education & Workforce
See topic collection
6970
Patients Charting the Course: Citizen Engagement and the Learning Health System: Workshop Summary
Type: Government Report
Year: 2011
Publication Place: Washington, DC
Abstract: As past, current, or future patients, the public should be the health care system's unwavering focus and serve as change agents in its care. Taking this into account, the quality of health care should be judged not only by whether clinical decisions are informed by the best available scientific evidence, but also by whether care is tailored to a patient's individual needs and perspectives. However, too often it is provider preference and convenience, rather than those of the patient, that drive what care is delivered. As part of its Learning Health System series of workshops, the Roundtable on Value & Science-Driven Health Care hosted a workshop to assess the prospects for improving health and lowering costs by advancing patient involvement in the elements of a learning health system.
Topic(s):
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.
View the PubMed citation for Patients Charting the Course: Citizen Engagement and the Learning Health System: Workshop SummaryAccess more information about this Resource
Access more information about this ResourceReference Links: View the PubMed citation for Patients Charting the Course: Citizen Engagement and the Learning Health System: Workshop SummaryAccess more information about this Resource
Access more information about this Resource6971
Patients use the internet to enter the medical home
Type: Journal Article
Year: 2011
Publication Place: United States
Abstract: There is a large gap between the promise of patient-centered medical home (PCMH) and our current capacity to define and measure it. The purpose of this article is to describe the findings of "real-time" patient-reported data about constructs of the PCMH and to demonstrate how an Internet-based method can be useful for obtaining patient report about the PCMH. We find that patients' Internet ratings seem stable and demonstrate relationships that fit constructs and models for the PCMH. We also find that current PCMH performance across this sample of 69 clinical settings is highly variable and still leaves a great deal of room for improvement.
Topic(s):
Medical Home
See topic collection
6973
Patients with chronic illness urgently need integrated physical and psychological care during the COVID-19 outbreak
Type: Journal Article
Year: 2020
Topic(s):
Education & Workforce
See topic collection
, Healthcare Disparities
See topic collection
Reference Links:
View the DOI record for Patients with chronic illness urgently need integrated physical and psychological care during the COVID-19 outbreak
View DOI Record
View the PubMed citation for Patients with chronic illness urgently need integrated physical and psychological care during the COVID-19 outbreak6976
Patients with persistent medically unexplained symptoms in general practice: characteristics and quality of care
Type: Journal Article
Year: 2007
Publication Place: England
Abstract: BACKGROUND: Medically unexplained physical symptoms (MUPS) are common in general practice (GP), and are even more problematic as they become persistent. The present study examines the relationship between persistent MUPS in general practice on the one hand and quality of life, social conditions, and coping on the other hand. Additionally, it is examined how patients with persistent MUPS evaluate the quality of GP-care. METHODS: Data were used from a representative survey of morbidity in Dutch general practice, in which data from the electronic medical records were extracted. A random sample of patients participated in an extensive health interview and completed self-reported measures on social isolation, coping and the quality of GP-care. Patients with persistent MUPS (N = 192) were compared with general practice patients not meeting the criteria for persistent MUPS (N = 7.314), and with a group of patients that visited the GP in comparable rates for medical diagnoses (N = 2.265). Multiple logistic regression analyses were used to control for relevant socio-demographic variables and chronic diseases. RESULTS: After adjustment for demographics and chronic diseases, patients with persistent MUPS reported more psychological distress, more functional impairment, more social isolation, and they evaluated the quality of GP-care less positive than the other two patient groups. Although the majority of MUPS patients were positive about the quality of GP-care, they more often felt that they were not taken seriously or not involved in treatment decisions, and more often reported that the GP did not take sufficient time. The three groups did not differ with respect to the statement that the GP unnecessarily explains physical problems as psychological ones. CONCLUSION: Strengthening MUPS patients' social network and encouraging social activities may be a meaningful intervention in which the GP may play a stimulating role. To further improve MUPS patients' satisfaction with GP-care, GPs may pay extra attention to taking sufficient time when treating MUPS patients, taking the problems seriously, and involving them in treatment decisions.
Topic(s):
Medically Unexplained Symptoms
See topic collection
Reference Links:
View the DOI record for Patients with persistent medically unexplained symptoms in general practice: characteristics and quality of care
View DOI Record
View the PubMed citation for Patients with persistent medically unexplained symptoms in general practice: characteristics and quality of care6978
Patients' experience of being triaged directly to a psychologist in primary care: a qualitative study
Type: Journal Article
Year: 2014
Publication Place: England
Abstract: BACKGROUND: In a primary health-care centre (PHCC) situated in a segregated area with low socio-economic status, 'primary care triage' has increased efficiency and accessibility. In the primary-care triage, the nurse sorts the patient to the appropriate PHCC profession according to described symptoms. Aim The aim of this study was to examine the patients' experience of being triaged directly to a psychologist for assessment. METHOD: Interviews were conducted with 20 patients and then analysed using qualitative content analysis. FINDINGS: The results show that patients contacting the PHCC for mental health issues often are active agents with their own intent to see a psychologist, not a doctor, as a first-hand choice when contacting the PHCC. Seeking help for mental health issues is described as a sensitive issue that demands building up strength before contacting. The quick access to the preferred health-care professional is appreciated. The nurse was perceived as a caring facilitator rather than a decision maker. It is the patient's wish rather than the symptoms that directs the sorting. The patients' expectations when meeting the psychologist were wide and diverse. The structured assessment sometimes collided and sometimes united with these expectations, yielding different outcome satisfaction. The results could be seen in line with the present goal to increase patients' choice in the health-care system. The improved accessibility to the psychologist seems to meet community expectations. The results also indicate a need for providing more prior information about the assessment and potential outcomes.
Topic(s):
Education & Workforce
See topic collection
, Healthcare Disparities
See topic collection
Reference Links:
View the DOI record for Patients' experience of being triaged directly to a psychologist in primary care: a qualitative study
View DOI Record
View the PubMed citation for Patients' experience of being triaged directly to a psychologist in primary care: a qualitative study