Clinical Workflows and the Associated Tasks and Behaviors to Support Delivery of Integrated Behavioral Health and Primary Care.
J Ambul Care Manage
; 42(1): 51-65, 2019.
Article
em En
| MEDLINE
| ID: mdl-30499901
ABSTRACT
Integrating primary care and behavioral health is an important focus of health system transformation. Cross-case comparative analysis of 19 practices in the United States describing integrated care clinical workflows. Surveys, observation visits, and key informant interviews analyzed using immersion-crystallization. Staff performed tasks and behaviors-guided by protocols or scripts-to support 4 workflow phases (1) identifying; (2) engaging/transitioning; (3) providing treatment; and (4) monitoring/adjusting care. Shared electronic health records and accessible staffing/scheduling facilitated workflows. Stakeholders should consider these workflow phases, address structural features, and utilize a developmental approach as they operationalize integrated care delivery.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Atenção Primária à Saúde
/
Prestação Integrada de Cuidados de Saúde
/
Transtornos Mentais
Tipo de estudo:
Clinical_trials
/
Diagnostic_studies
/
Guideline
/
Qualitative_research
/
Risk_factors_studies
País/Região como assunto:
America do norte
Idioma:
En
Revista:
J Ambul Care Manage
Ano de publicação:
2019
Tipo de documento:
Article