In our words: Patient reports of the utility of primary care behavioral health services.

IF 1.2 4区 医学 Q3 FAMILY STUDIES
Emily L Allen, Alyssa J Hartley, Ana J Bridges
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Abstract

Background: The primary care behavioral health (PCBH) model of integrated care has been successfully implemented and evaluated in diverse settings. The most common metrics of PCBH service outcomes include provider and patient satisfaction, patient symptom changes, provider productivity, and utilization rates. Missing is the broader perspective of the patient. To address this gap, we solicited qualitative feedback from PCBH patients about the benefits of PCBH services.

Method: Primary care patients (n = 135; Mage = 28.31, 52.6% White, 25.9% Hispanic/Latinx, 72.6% female) seen by six behavioral health interns at two primary care clinics over a 13-month period responded to an open-ended question about what they found most helpful about that day's session.

Results: Roughly half of patient responses about PCBH session benefits encompassed nonspecific aspects of therapy (49.6%), while nearly two-thirds (63.0%) mentioned specific therapeutic techniques delivered by clinicians in session as most helpful. In terms of nonspecific benefits of PCBH, many patients described benefitting from having space to talk, receiving validation, and instillation of hope. Specific aspects of treatment patients reported were helpful included skill building, resource sharing, goal setting/treatment planning, psychoeducation/guidance, and specific cognitive behavioral therapy techniques.

Conclusion: PCBH relies on both nonspecific relational components and special therapy techniques; both are useful to patients, and neither is frequently included in routine evaluations of the effectiveness of PCBH and other models of integrated care. Our findings support the benefits of including patient input when conducting outcome monitoring within the PCBH model. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

用我们的话说患者对初级保健行为健康服务效用的报告。
背景:综合护理的初级保健行为健康(PCBH)模式已经在不同的环境中成功实施和评估。PCBH服务结果的最常见指标包括提供者和患者满意度、患者症状变化、提供者生产力和利用率。思念是视野更广阔的病人。为了解决这一差距,我们征求了PCBH患者关于PCBH服务益处的定性反馈。方法:初级保健患者(n = 135;在13个月的时间里,两家初级保健诊所的六名行为健康实习生看到了法师= 28.31,52.6%白人,25.9%西班牙裔/拉丁裔,72.6%女性),他们回答了一个开放式问题,即他们认为当天的会议最有帮助的是什么。结果:大约一半的患者对pchh会议的益处的反应包括治疗的非特异性方面(49.6%),而近三分之二(63.0%)的患者提到临床医生在会议上提供的特定治疗技术是最有帮助的。就pchh的非特异性益处而言,许多患者描述受益于有空间交谈,接受验证和灌输希望。患者报告的治疗有帮助的具体方面包括技能培养、资源共享、目标设定/治疗计划、心理教育/指导和特定的认知行为治疗技术。结论:PCBH依赖非特异性的关系成分和特殊的治疗技术;这两种方法对患者都是有用的,但两者都不经常被纳入对PCBH和其他综合护理模式有效性的常规评估。我们的研究结果支持在pchh模型中进行结果监测时纳入患者输入的益处。(PsycInfo Database Record (c) 2025 APA,版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Families Systems & Health
Families Systems & Health HEALTH CARE SCIENCES & SERVICES-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
CiteScore
1.50
自引率
7.70%
发文量
81
审稿时长
>12 weeks
期刊介绍: Families, Systems, & Health publishes clinical research, training, and theoretical contributions in the areas of families and health, with particular focus on collaborative family healthcare.
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