BMC primary care最新文献

{"title":"GPs' perspectives on care models integrating medical and non-medical services in primary care-a representative survey in Germany.","authors":"Wolfram J Herrmann, Hendrik Napierala","doi":"10.1186/s12875-024-02693-x","DOIUrl":"10.1186/s12875-024-02693-x","url":null,"abstract":"<p><strong>Background: </strong>Health-related social problems are common in primary care. Different care models integrating medical and non-medical services in primary care have been tested and established nationally and internationally, such as social prescribing, social work in primary care, health kiosks and integrated primary care centres. The aim of our study was to explore the perspective of general practitioners (GPs) working in Germany on these four care models regarding their meaningfulness and if they would like to use them. Secondary objective was to explore factors influencing this assessment.</p><p><strong>Methods: </strong>We conducted a survey of a representative sample of GPs working in Germany. The questionnaire included questions on the assessment of the care models' meaningfulness and whether the GPs would like to use them. The analysis was carried out descriptively and using linear regression.</p><p><strong>Results: </strong>One thousand four hundred thirty-nine GPs took part in the survey. Social prescribing and social work in primary care were rated as the most meaningful concepts. Over 65% of the GPs believed that using at least one of the care models would be beneficial. One in four GPs would even welcome the idea of integrating their practice into an integrated primary care center. Older age and male gender were associated with a more negative assessment of the care models.</p><p><strong>Conclusions: </strong>German GPs consider integrating medical and non-medical services in primary care to be meaningful, yet they are somewhat skeptical about its practical implementation in daily practice. However, younger GPs in Germany are significantly more receptive to these models.</p><p><strong>Trial registration: </strong>German Register of Clinical Studies (DRKS-ID: DRKS00032585; Registration Date: September 1, 2023).</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"25 1","pages":"441"},"PeriodicalIF":2.0,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142907964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The moderating role of e-health literacy and patient-physician communication in the relationship between online diabetes information-seeking behavior and self-care practices among individuals with type 2 diabetes.","authors":"Maryam Peimani, Anita L Stewart, Robabeh Ghodssi-Ghassemabadi, Ensieh Nasli-Esfahani, Afshin Ostovar","doi":"10.1186/s12875-024-02695-9","DOIUrl":"10.1186/s12875-024-02695-9","url":null,"abstract":"<p><strong>Background: </strong>This study examined the moderating role of e-health literacy (eHL) and patient-physician communication in the relationship between online diabetes information-seeking behavior (online DISB) and self-care practices.</p><p><strong>Methods: </strong>A total of 1143 individuals with type 2 diabetes mellitus completed a cross-sectional survey assessing sociodemographic characteristics, data relating to diabetes clinical history, online DISB, eHL (eHealth Literacy Scale), aspects of patient-physician communication (IPC survey), patient self-care (Self-Care Inventory-Revised), and medication adherence (measure of adherence to prescribed diabetes medications). The data were analyzed using both bivariate (correlation) and multivariate (multiple linear regression) analyses using maximum likelihood estimation procedures in Mplus.</p><p><strong>Results: </strong>Our results showed online DISB significantly predicted diabetes self-care (p < 0.001) and medication adherence behaviors (p = 0.005). Lower Hurried Communication (p < 0.001, p = 0.03), higher Elicited Concerns (p = 0.005, p = 0.03), higher Explained Results (p = 0.03, p = 0.008), and higher eHL (p = 0.02, p = 0.02) were significantly associated with better self-care and medication adherence. Explained Results and eHL moderated the relationship between online DISB and both self-care and medication adherence.</p><p><strong>Conclusions: </strong>Findings support the role of patient eHL and patient-physician communication in amplifying the positive impact of online DISB on patients' behavioral outcomes in diabetes.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"25 1","pages":"442"},"PeriodicalIF":2.0,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142907966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Effectiveness and cost‑effectiveness of an intervention to improve Initial Medication Adherence to treatments for cardiovascular diseases and diabetes in primary care: study protocol for a pragmatic cluster randomised controlled trial and economic model (the IMA‑cRCT study).","authors":"Alba Sanchez-Vinas, Carmen Corral-Partearroyo, Montserrat Gil-Girbau, M Teresa Penarrubia-Maria, Carmen Gallardo-Gonzalez, Maria-Del-Carmen Olmos-Palenzuela, Ignacio Aznar-Lou, Antoni Serrano-Blanco, Maria Rubio-Valera","doi":"10.1186/s12875-024-02694-w","DOIUrl":"10.1186/s12875-024-02694-w","url":null,"abstract":"","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"25 1","pages":"437"},"PeriodicalIF":2.0,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11673825/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of the covid-19 pandemic on perceived diabetes care and regulation, with a focus on ethnic minorities: a mixed-methods study.","authors":"Saskia E van Grondelle, Bilal Güzel, Manon D Mijnsbergen, Paul Uitewaal, Janet M Kist, Sytske van Bruggen, Hedwig M M Vos, Mattijs E Numans, Rimke C Vos","doi":"10.1186/s12875-024-02691-z","DOIUrl":"10.1186/s12875-024-02691-z","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to explore the impact of the COVID-19 pandemic and resulting changes to diabetes care, especially concerning disease control, the use of (tele)consultation and lessons worth implementing to improve diabetes care, with a specific focus on ethnic minority groups.</p><p><strong>Methods: </strong>A mixed-methods prospective cohort study among people with type 2 Diabetes Mellitus (T2DM) treated in primary care during the COVID-19 pandemic. A survey was sent regionally, including items related to teleconsultation and amount of contact with the healthcare professional. We conducted interviews based on the chronic care model with individuals from various ethnic backgrounds living in a deprived neighbourhood. Change in diabetes control (HbA1c, fasting glucose, LDL, systolic BP, BMI, eGFR) was evaluated based on routine care data. Latent class analysis was performed to identify groups who were more at risk for decreased glycaemic control.</p><p><strong>Results: </strong>Most people maintained face-to-face (59%) or telephone (44%) contact with their healthcare provider. A decrease in consultations was observed. Based on the interviews, factors important for maintaining good glycaemic control were the use of medical devices, religion, routines and social support from family and friends. We did not find a clinically relevant change in diabetes control and no specific group was identified as at risk for worse diabetes regulation.</p><p><strong>Conclusions: </strong>In the context of proactive care, remote healthcare and self-regulation have a crucial role for people with T2DM. It is important to identify barriers and facilitators for maintaining good glycaemic control among vulnerable groups, such as ethnic minority groups.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"25 1","pages":"438"},"PeriodicalIF":2.0,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11674499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementing HIV teams to improve HIV indicator condition-guided testing in general practitioner centers in the Netherlands.","authors":"Carlijn C E Jordans, Lotte Niemantsverdriet-Rokx, Jan L Struik, Eva C van der Waal, Paul V J M van der Voorn, Nienke Bakker, Annelies Verbon, Patrick J E Bindels, Casper Rokx","doi":"10.1186/s12875-024-02666-0","DOIUrl":"10.1186/s12875-024-02666-0","url":null,"abstract":"<p><strong>Background: </strong>HIV indicator condition-guided testing is recommended by guidelines to identify undiagnosed HIV infections. However, general practitioners (GPs) frequently see patients for indicator conditions without testing them for HIV. The aim of this study was to evaluate whether implementing HIV teams, using trained GP ambassadors, promoted local HIV indicator condition-guided testing practices in urban GP centers in the Netherlands.</p><p><strong>Methods: </strong>We conducted a prospective implementation study between May 2021 and March 2023. Patients ≥ 18 years newly diagnosed with HIV indicator conditions in three GP centers were included. The intervention consisted of HIV expert led education for GPs with a stepwise implementation of point-of-care testing (phase 1), followed by adding peer-to-peer case feedback by trained GP ambassadors (phase 2). Questionnaires were used to assess the experiences and beliefs of HIV indicator condition-driven testing in patients and GPs. The primary outcome was the overall HIV testing rate in patients diagnosed with indicator conditions compared to pre-implementation. Secondary outcomes were HIV testing rate per phase and per indicator condition, HIV positivity rate, and patients' and GPs' experiences with this testing strategy.</p><p><strong>Results: </strong>In 132,338 patient visits, 846 (0.6%, 95%CI 0.6-0.7%) HIV indicator conditions were diagnosed, including 485 sexually transmitted infections (57.3%). Overall, 215 (25.4%) indicator conditions were tested for HIV after the implementation of HIV teams. The testing rate was comparable between the two phases (25.2% versus 25.9%, p = 0.83). The testing rates pre- and post-implementation were comparable (21.3% versus 25.4%, p = 0.33). The most frequently tested HIV indicator conditions were unexplained weight loss (n = 13, 41.9%), unexplained lymphadenopathy (n = 8, 38.1%), and sexually transmitted infections (n = 161, 33.2%). Three patients (1.4%, 95%CI 0.3-4.0%) tested positive for HIV. Test acceptance in patients was high as was the self-perceived knowledge of GPs on HIV indicator conditions.</p><p><strong>Conclusions: </strong>Implementing HIV teams did not enhance HIV indicator condition-guided testing in urban GP centers from a low HIV prevalence setting. The high patients acceptance rate and self-perceived knowledge among GPs regarding HIV indicator conditions did not manifest in high HIV testing rates. Patients accepted testing, but a gap was found between the self-perceived knowledge of GPs regarding HIV indicator conditions and testing, and the actual HIV testing rate.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov NCT05225493 (registration date: 17-01-2022).</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"25 1","pages":"440"},"PeriodicalIF":2.0,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11681718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Explaining persistent physical symptoms to patients in general practice: can tests to measure central sensitisation add value? A mixed-methods study.","authors":"Carine den Boer, Zola Krak, Berend Terluin, Johannes C van der Wouden, Annette H Blankenstein, Henriëtte E van der Horst","doi":"10.1186/s12875-024-02686-w","DOIUrl":"10.1186/s12875-024-02686-w","url":null,"abstract":"<p><strong>Introduction: </strong>General practitioners (GPs) often face challenges in explaining to patients with persistent physical symptoms (PPS) why their symptoms persist. Providing an explanation of the central sensitisation (CS) mechanism to patients could be helpful, yet GPs do not routinely test for signs of CS in these patients. The aim of this study was to explore the value of applying a test to assess CS in enhancing explanations provided to patients.</p><p><strong>Methods: </strong>In this prospective study, 25 GPs applied three tests, selected through a Delphi study, to assess CS-related symptoms: (1) the Central Sensitisation Inventory (CSI); (2) an algometer for measuring pressure pain thresholds (PPT); and (3) a monofilament for assessing temporal summation. Following the tests, both the GP and the patient completed a short questionnaire. Subsequently, GPs shared their experiences in focus groups and interviews, while a sample of patients was interviewed individually. The questionnaires were analysed quantitatively, and the focus groups and interviews were analysed qualitatively.</p><p><strong>Results: </strong>GPs reported that all tests were feasible to perform during consultations; testing took less than 5 min in 25% of cases and between 5 and 10 min in 60% of cases. In approximately 50% of cases, an additional consultation was required to perform the test. The results of the CSI confirmed CS-related symptoms more frequently (74%) than the algometer (46%) and the monofilament (43%). Consequently, many GPs preferred the CSI. Patients did not show a preference for any specific test; two-third found the tests valuable and approximately 50% reported that the explanation of CS was clearer when a test was used.</p><p><strong>Conclusions: </strong>Testing during the consultation was feasible, although an additional consultation was required in 50% of the cases. GPs preferred the CSI because its results confirmed CS-related symptoms more frequently than those from the algometer and monofilament.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"25 1","pages":"439"},"PeriodicalIF":2.0,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11673602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PSA testing in primary care: is it time to change our practice?","authors":"Frederique Beatrice Denijs, Hendrik Van Poppel, Arnulf Stenzl, Tiago Villanueva, Josep Maria Vilaseca, Mehmet Ungan, André Deschamps, Sarah Collen, Monique J Roobol","doi":"10.1186/s12875-024-02688-8","DOIUrl":"10.1186/s12875-024-02688-8","url":null,"abstract":"<p><strong>Background: </strong>Historical prostate-specific antigen (PSA)-based screening studies reduced prostate cancer-related deaths but also led to overdiagnosis/overtreatment. Since then, opportunistic PSA testing has increased, and late-stage diagnoses and prostate-cancer related deaths are rising.</p><p><strong>Objectives: </strong>To review current trends regarding PSA testing in primary care and propose a collaborative approach to improve early prostate cancer detection.</p><p><strong>Discussion: </strong>Opportunistic PSA testing patterns vary among General Practitioners (GPs) and Family Doctors (FDs) based on differing guidelines, patient pressure, time constraints and personal views/preferences. However, an organised, risk-adapted strategy, as outlined by the European Association of Urology's guidelines, could facilitate the early diagnosis of significant prostate cancer whilst sparing those unlikely to experience disease-related symptoms from further tests (overdiagnosis) as well as the psychosocial consequences of a cancer diagnosis. This could be achieved by the introduction of national prostate cancer screening programmes, which has been endorsed in the European Commission's publication of the EU Cancer Screening Recommendations. In this scenario, GPs/FDs would still play an important role in supporting men throughout the decision pathway. However, as some men may still request a PSA test from their GP/FD, patient information as well as clear guidance and support to GPs/FDs are needed, including appropriate skills training to facilitate effective counselling and informed decision-making, and the use of risk calculators to inform referral decisions.</p><p><strong>Conclusion: </strong>GPs/FDs play an important role in counselling healthy men eligible to consider PSA testing. However, clear guidance, training and support is required for them to assume this role.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"25 1","pages":"436"},"PeriodicalIF":2.0,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11670451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence of primary care chest pain consultations during the COVID-19 pandemic: an interrupted time series analysis with routine care data.","authors":"Simone van den Bulk, Jasper W A van Egeraat, Annelieke H J Petrus, Mattijs E Numans, Tobias N Bonten","doi":"10.1186/s12875-024-02676-y","DOIUrl":"10.1186/s12875-024-02676-y","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 lockdown had profound effects on society and healthcare. Cardiology departments reported declines in chest pain evaluations and acute coronary syndrome (ACS) diagnoses. However, the pattern of chest pain in primary care is not clear yet. This study aims to assess the impact of the COVID-19 lockdown on the number of patients presenting with chest pain in primary care.</p><p><strong>Methods: </strong>Routine primary care data from the Extramural LUMC (Leiden University Medical Center) Academic Network (ELAN) in the Netherlands were used. Chest pain consultations from January 2017 to December 2020 were included. An interrupted time series analysis was performed to compare the incidence rate (IR) of chest pain consultations during the COVID-19 lockdown to the expected IR. Secondary outcomes were the type of consultations, referral proportions, and the IR of registered ACS diagnoses.</p><p><strong>Results: </strong>In total 9,908 chest pain consultations were included. During the COVID-19 lockdown the IR was 6.16 per 1000 person-years while the expected IR was 7.55 (95% CI 7.03-8.12). The immediate effect of the lockdown yielded an incidence rate ratio (IRR) of 0.62 (95% CI 0.50-0.77). A similar decrease was seen for ACS diagnoses (IRR 0.62, 95% CI 0.48-0.79), with no compensatory increase after the lockdown (IRR 1.04, 95% CI 0.89-1.21). Face-to-face consultations shifted to telephone consultations (p < 0.001) and hospital referrals decreased (9.9% vs. 19.0% (p < 0.001)).</p><p><strong>Conclusions: </strong>During the COVID-19 lockdown the number of chest pain consultations and registered ACS diagnoses in primary care decreased significantly. In addition, fewer patients were assessed face-to-face and fewer patients were referred to the hospital.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"25 1","pages":"433"},"PeriodicalIF":2.0,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11662427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The profound impact of COVID-19 on the control and care of diabetic patients: a comprehensive retrospective cohort study.","authors":"Fakhria Al Rashdi, Salwa Al Harrasi, Mohammed Al Ismaili, Al-Ghaliya Al Yaaqubi, Zeenah Atwan, Celine Tabche","doi":"10.1186/s12875-024-02672-2","DOIUrl":"10.1186/s12875-024-02672-2","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic has led to a significant shift in healthcare services, focusing on pandemic response and emergency preparedness. The Oman Ministry of Health implemented various measures to combat and control COVID-19. However, this shift disrupted routine outpatient appointments, particularly for chronic diseases such as diabetes mellitus (DM) and hypertension (HTN). This study aims to assess the pandemic's effect on diabetes control, by examining glycated haemoglobin (HbA1c), blood pressure (BP), lipid values (particularly low-density lipoprotein (LDL), body weight/ body mass index (BMI), and comparing these measures to pre-pandemic levels.</p><p><strong>Methods: </strong>A retrospective cohort study of 223 people with diabetes (PwD), aged 20-95 years who underwent a blood workup in 2019 and 2020 and were registered in Al-Khuwair Health Centre from March to December 2020. Data was extracted from the Al Shifa 3plus System and National Diabetic Register (NDR), and analyzed using SPSS.</p><p><strong>Results: </strong>Out of 260 PwD identified, 223 met the inclusion criteria, while 37 were excluded due to recent diagnoses or missing follow-up in 2019. Significant changes were observed in HbA1C, systolic blood pressure (SBP), and BMI from 2019 to 2020. Mean HbA1c increased from 6.9% in 2019 to 7.2% in 2020. Mean SBP rose from 131.22 mmHg in 2019 to 134.84 mmHg in 2020, while mean BMI increased from 30.49 to 30.80. No significant changes were found in LDL levels or diastolic BP.</p><p><strong>Conclusion: </strong>The COVID-19 pandemic disrupted healthcare systems globally, and the consequences on health and mortality were not only due to the direct impact of the virus, but also to the modifications in priorities. These interruptions in inconsistent care, had consequences for non-communicable diseases (NCDs) like diabetes. Future strategic plans should be prepared and implemented to manage NCD cases in case of pandemics.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"25 1","pages":"432"},"PeriodicalIF":2.0,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11662608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of enhanced mental and behavioral health training for family medicine residents: a research protocol.","authors":"Elena Gardner, Robert W Owens, Katherine T Fortenberry, Karly Pippitt, Dominik J Ose, Susan Cochella","doi":"10.1186/s12875-024-02656-2","DOIUrl":"10.1186/s12875-024-02656-2","url":null,"abstract":"<p><strong>Background: </strong>The treatment gap for mental and behavioral health (MBH) in the United States (US) remains a major public health concern. Given the growing need for a robust MBH workforce, particularly for underserved populations, calls for integrated MBH in primary care have been mounting. Family medicine providers, who know and can treat all members of a family within the same setting, are uniquely positioned to manage MBH conditions.</p><p><strong>Objectives: </strong>With HRSA funding, the University of Utah Family Medicine Residency (UUFMR) seeks to address gaps in mental health services by enhancing or developing MBH training and partnerships. This protocol describes the project's evaluation. The evaluation aims to identify areas to improve training content, describe training capacity, and assess intermediate outcomes of improved trainings.</p><p><strong>Methods: </strong>The evaluation consists of three components: analyzing current curriculum and best practices, developing or enhancing trainings with partners, and assessing residents' and graduates' confidence in providing MBH care.</p><p><strong>Results: </strong>The results from this protocol fill gaps in the current literature regarding evaluation methods for provider- and organizational-level outcomes of increased quality and capacity of residency training in MBH. Further, the results provide practical guidance for other residencies seeking to integrate MBH training into their curriculum.</p><p><strong>Conclusion: </strong>Considering the resources committed to the ongoing enhancement of resident education, it is crucial to evaluate the implementation and outcomes of improvements to ensure that limited resources are well-utilized. Assessing the training capacity developed through collaboration supports progress toward creating a high-quality, accessible, and integrated mental and behavioral healthcare system in primary care.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"25 1","pages":"434"},"PeriodicalIF":2.0,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11662698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}