Rebecca A Klege, Jennifer C Berko, Theresa Menders, Charu Verma, Ann M Nguyen
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引用次数: 0
摘要
导语:尽管有强有力的证据支持综合行为健康(IBH),但实施初级保健行为健康(PCBH)模式仍然具有挑战性,特别是在联邦合格卫生中心(FQHCs)和社区卫生中心(CHCs)等安全网环境中。本研究考察了在尼科尔森基金会(2013-2019)资助的新泽西示范项目中采用多氯联苯的促进因素和障碍。方法:我们于2022年6月至9月对来自10家fqhc /CHCs的18名行为健康和初级保健人员进行了半结构化访谈。运用归纳和演绎两种方法的主题分析指导了我们的解释。结果:出现了五个关键的促进因素:(a)外部系统支持,(b)领导支持推动工作流程重新设计,(c)提供者对变革的积极态度,(d)对所有员工进行全面的PCBH培训,以及(e)行为健康顾问的可见性。主要挑战包括:(a)缺乏资源和标准化的培训材料;(b)难以招募和留住行为健康专业人员;(c)复杂的计费程序延迟了创收。讨论:虽然PCBH的实现很复杂,但关键的促成因素可以支持fqhc /CHCs的成功。随着PCBH在医疗保健系统中越来越受欢迎,本研究的见解可以为未来的努力提供信息,特别是在服务不足的环境中,旨在将行为健康纳入初级保健。(PsycInfo Database Record (c) 2025 APA,版权所有)。
Facilitators and challenges of implementing an integrated behavioral health model: An exploratory qualitative analysis of a New Jersey demonstration project.
Introduction: Despite strong evidence supporting integrated behavioral health (IBH), implementing the Primary Care Behavioral Health (PCBH) model remains challenging, particularly in safety-net settings like Federally Qualified Health Centers (FQHCs) and Community Health Centers (CHCs). This study examines facilitators and barriers to PCBH adoption during a New Jersey-based demonstration project funded by The Nicholson Foundation (2013-2019).
Method: We conducted semistructured interviews with 18 behavioral health and primary care staff from 10 FQHCs/CHCs between June and September 2022. A thematic analysis using both inductive and deductive approaches guided our interpretation.
Results: Five key facilitators emerged: (a) external system support, (b) leadership champions driving workflow redesign, (c) positive provider attitudes toward change, (d) comprehensive PCBH training for all staff, and (e) visibility of behavioral health consultants. Major challenges included: (a) lack of resources and standardized training materials, (b) difficulty recruiting and retaining behavioral health professionals, and (c) complex billing processes that delay revenue generation.
Discussion: While PCBH implementation is complex, critical enablers can support success in FQHCs/CHCs. As PCBH gains traction in healthcare systems, insights from this study can inform future efforts, particularly in underserved settings aiming to integrate behavioral health into primary care. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
Families Systems & HealthHEALTH 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.