Format

Send to

Choose Destination
J Clin Psychol Med Settings. 2009 Mar;16(1):21-30. doi: 10.1007/s10880-008-9137-4. Epub 2008 Dec 13.

Integrated primary care: an inclusive three-world view through process metrics and empirical discrimination.

Author information

1
Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, MA, USA. ben007m@aol.com

Abstract

Integrating behavioral health services within the primary care setting drives higher levels of collaborative care, and is proving to be an essential part of the solution for our struggling American healthcare system. However, justification for implementing and sustaining integrated and collaborative care has shown to be a formidable task. In an attempt to move beyond conflicting terminology found in the literature, we delineate terms and suggest a standardized nomenclature. Further, we maintain that addressing the three principal worlds of healthcare (clinical, operational, financial) is requisite in making sense of the spectrum of available implementations and ultimately transitioning collaborative care into the mainstream. Using a model that deconstructs process metrics into factors/barriers and generalizes behavioral health provider roles into major categories provides a framework to empirically discriminate between implementations across specific settings. This approach offers practical guidelines for care sites implementing integrated and collaborative care and defines a research framework to produce the evidence required for the aforementioned clinical, operational and financial worlds of this important movement.

PMID:
19294518
DOI:
10.1007/s10880-008-9137-4
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Springer
Loading ...
Support Center