Improved pediatric behavioral health appointment scheduling in an integrated primary care program.

IF 1.2 4区医学 Q3 FAMILY STUDIES

Families Systems & Health Pub Date : 2025-05-05 DOI:10.1037/fsh0000985

Anjali D Sapkal, Jasmine R Holt, Devin P Adams, Hilary M Bowers, Vanessa Sarabia, Alissa Jae Lazo-Kim, Jason Schweitzer, Andrew Richardson, Anne Bird, Kathryn A Hollenbach

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引用次数: 0

Abstract

Introduction: To better understand appointment scheduling for pediatric behavioral health (BH) referrals, we examined appointment scheduling behavior among patients with and without access to primary care mental health integration (PCMHI).

Method: A prospective cohort study compared PCMHI and non-PCMHI pediatric patients with BH referrals from January 17, 2022, to June 10, 2022. Six pediatric primary care clinics affiliated with a southern California Children's Hospital were studied: two PCMHI and four non-PCMHI clinics with similar patient demographic characteristics. BH referrals at PCMHI clinics are directly referred to the embedded integrated health therapists. Non-PCMHI clinics referred patients to community BH services. Data were collected from electronic health record abstraction and telephone interviews.

Results: PCMHI (n = 471) and non-PCMHI (n = 97) groups did not differ significantly in patient characteristics. About 87.3% (n = 172) of PCMHI patients eligible for an integrated health therapist initial BH appointment scheduled their appointment within 14 days compared to 9.2% (n = 7) of the non-PCMHI patients (χ² = 148.2, p < .001). There was no difference in median days to initial BH appointment between the cohorts, PCMHI: 21 (interquartile range = 15, 27.5) and non-PCMHI: 23 (interquartile range = 13, 35), p = .71. Primary reasons for not scheduling initial BH appointments were similar for both groups and included confusion about the referral and patient/parent busy schedules.

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在综合初级保健计划中改进儿科行为健康预约安排。

前言：为了更好地了解儿科行为健康（BH）转诊的预约安排，我们研究了有和没有获得初级保健心理健康整合（PCMHI）的患者的预约安排行为。方法：一项前瞻性队列研究比较了2022年1月17日至2022年6月10日转诊的PCMHI和非PCMHI儿科患者。研究了南加州儿童医院附属的六家儿科初级保健诊所：两家PCMHI诊所和四家具有相似患者人口统计学特征的非PCMHI诊所。在PCMHI诊所的BH转诊直接转介给嵌入式综合保健治疗师。非pcmhi诊所将患者转介到社区BH服务。数据收集方式为电子病历摘录和电话访谈。结果：PCMHI组（n = 471）与非PCMHI组（n = 97）患者特征无显著差异。约87.3% （n = 172）符合综合健康治疗师首次BH预约的PCMHI患者在14天内安排了预约，而非PCMHI患者的这一比例为9.2% (n = 7) （χ²= 148.2,p < .001）。在队列中，PCMHI: 21（四分位数范围= 15,27.5）和非PCMHI: 23（四分位数范围= 13,35），到首次BH预约的中位天数没有差异，p = 0.71。两组未安排首次BH预约的主要原因相似，包括对转诊和患者/家长繁忙日程的混淆。结论：与非PCMHI队列相比，PCMHI队列中的患者更有可能安排他们的首次BH预约。（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 HEALTH CARE SCIENCES & SERVICES-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

1.50

自引率

7.70%

发文量

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.