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Associations Between Patient Comfort with a Primary Care Provider and Three Measures of Behavioral Health Services Utilization.
Robles, Brenda; Kwak, Hannah; Kuo, Tony.
Afiliação
  • Robles B; Research Group On Statistics, Econometrics, and Health (GRECS), University of Girona, Carrer de la Universitat de Girona 10, Campus de Montilivi, Girona, 17003, Spain. brenda.robles@udg.edu.
  • Kwak H; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain. brenda.robles@udg.edu.
  • Kuo T; Department of Internal Medicine, David Geffen School of Medicine at University of California, Los Angeles (UCLA), 911 Broxton Ave., Los Angeles, CA, 90024, USA.
Int J Behav Med ; 2024 Feb 22.
Article em En | MEDLINE | ID: mdl-38388741
ABSTRACT

BACKGROUND:

Behavioral health services (BHS) can help improve and treat mental and emotional health problems. Yet, attitudinal and/or structural barriers often prevent individuals from accessing and benefiting from these services. Positive provider-patient interactions in healthcare, encompassing patient comfort with a primary care provider (PCP), which is often enhanced by shared decision-making, may mitigate the stigma associated with seeing a mental health professional; this may improve BHS utilization among patients who need these services. However, few studies have examined how patient comfort with a PCP, often through shared decision-making, may influence patients' BHS utilization in the real world. This study sought to address this gap in practice.

METHOD:

Multivariable regression analyses, using weighted data from an internet panel survey of Los Angeles County adults (n = 749), were carried out to examine the associations between patient comfort with a PCP and three measures of BHS utilization. Subsequent analyses were conducted to explore the extent to which shared decision-making moderated these associations.

RESULTS:

Participants who reported an intermediate or high comfort level with a provider had higher odds of reporting that they were likely to see (aOR = 2.10 and 3.84, respectively) and get advice (aOR = 2.75 and 4.76, respectively) from a mental health professional compared to participants who reported a low comfort level. Although shared decision-making influenced participants' likelihood of seeing and getting advice from a mental health professional, it was not a statistically significant moderator in these associations.

CONCLUSION:

Building stronger relationships with patients may improve BHS utilization, a provider practice that is likely underutilized.
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Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2024

Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2024