Technology-enabled Behavioral Health Integration Decreases Emergency Department Utilization.

Q2 Medicine

Clinical Practice and Epidemiology in Mental Health Pub Date : 2022-01-01 DOI:10.2174/17450179-v18-e2208150

Adam Pardes, Rachelle Rene, Phansy Chun, Mollie Cherson

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引用次数: 0

Abstract

Background: Behavioral health integration allows for patient-centered care, leads to higher levels of provider-patient engagement, and is key to improving patient outcomes. However, behavioral health integration is administratively burdensome and therefore is often not adopted. Technology presents opportunities to increase care team efficiency and improve patient outcomes. The goal of this study was to retrospectively compare clinical outcomes and emergency department utilization in patients using a technology platform compared to patients receiving treatment as usual.

Methods: The technology platform, NeuroFlow, was deployed to deliver technology-enabled behavioral health integration in 30 clinics, and 598 electronic health records were analyzed.

Results: In the six-month period following technology-enabled behavioral health integration implementation, emergency department utilization decreased by 34% in the treatment group (n=259), while increasing by 58% in the treatment as usual group (n=339). Additionally, statistically significant (p < .01) decreases in PHQ-9 (-17.3%) and GAD-7 (-12.4%) scores were only observed in the treatment group.

Conclusion: Findings from this study support use of a technology-enabled behavioral health tool to decrease emergency department use and highlight the importance of measurement-based care. Future research will be key to enhancing behavioral health technology and integration to further improve patient outcomes and reduce emergency department utilization.

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技术支持的行为健康整合降低了急诊室的使用率。

背景:行为健康整合允许以患者为中心的护理，导致更高水平的提供者-患者参与，是改善患者预后的关键。然而，行为健康整合是行政上的负担，因此往往不被采用。技术为提高护理团队效率和改善患者预后提供了机会。本研究的目的是回顾性比较使用技术平台的患者与接受常规治疗的患者的临床结果和急诊科使用率。方法:采用NeuroFlow技术平台，对30家诊所进行行为健康整合，并对598份电子健康记录进行分析。结果:在技术支持行为健康整合实施后的六个月期间，治疗组(n=259)急诊科使用率下降了34%，而常规治疗组(n=339)增加了58%。此外，仅治疗组PHQ-9评分(-17.3%)和GAD-7评分(-12.4%)下降有统计学意义(p < 0.01)。结论:本研究结果支持使用技术支持的行为健康工具来减少急诊科的使用，并强调基于测量的护理的重要性。未来的研究将是加强行为健康技术和整合的关键，以进一步改善患者的预后，减少急诊室的使用率。

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

Clinical Practice and Epidemiology in Mental Health Medicine-Psychiatry and Mental Health

CiteScore

5.30

自引率

0.00%

发文量

期刊介绍： Clinical Practice & Epidemiology in Mental Health is an open access online journal, which publishes Research articles, Reviews, Letters in all areas of clinical practice and epidemiology in mental health covering the following topics: Clinical and epidemiological research in psychiatry and mental health; diagnosis, prognosis and treatment of mental health conditions; and frequencies and determinants of mental health conditions in the community and the populations at risk; research and economic aspects of psychiatry, with special attention given to manuscripts presenting new results and methods in the area; and clinical epidemiologic investigation of pharmaceutical agents. Clinical Practice & Epidemiology in Mental Health, a peer reviewed journal, aims to provide the most complete and reliable source of information on current developments in the field. The emphasis will be on publishing quality articles rapidly and freely available worldwide.