Digitally Driven Integrated Primary Care and Behavioral Health: How Technology Can Expand Access to Effective Treatment

被引:52
作者
Raney, Lori [1 ]
Bergman, David [2 ]
Torous, John [3 ,4 ]
Hasselberg, Michael [5 ]
机构
[1] Hlth Management Associates, POB 248, Dolores, CO 81323 USA
[2] Hlth Management Associates, 1133 Ave Amer,Suite 620, New York, NY 10036 USA
[3] Beth Israel Deaconess Med Ctr, Dept Psychiat, 330 Brookline Dr, Boston, MA 02215 USA
[4] Beth Israel Deaconess Med Ctr, Div Clin Informat, 330 Brookline Dr, Boston, MA 02215 USA
[5] Univ Rochester, Med Ctr, 315 Sci Pkwy,Suite 400, Rochester, NY 14620 USA
关键词
Integrated care; eConsult; Project ECHO; Telepsychiatry; Digital health; mHealth; COLLABORATIVE CARE; ELECTRONIC CONSULTATIONS; SPECIALTY CARE; DEPRESSION; TELEPSYCHIATRY; INNOVATION; IMPROVE;
D O I
10.1007/s11920-017-0838-y
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Purpose of Review Widespread implementation of integrated primary care and behavioral health is possible, but workforce shortages, competencies to deliver evidence-based approaches, and sufficient reimbursement are lacking. There are numerous telehealth solutions that could be utilized to assist with integration efforts that have the potential to be successfully used alone or in combination. This will require that the developers of such technologies understand the current evidence base for effective integration efforts and apply this knowledge to new solutions. Recent Findings Evidence-based models of integrated care such as the collaborative care model have a robust evidence base including studies that demonstrate effective delivery from remote locations. Technology solutions that can serve as practice extenders by performing some of the tasks, and can expand the competency of primary care providers to treatmild to moderate mental illness, have an emerging literature in the behavioral health arena that shows promise for integrating care. Summary More widespread implementation of effective integrated primary care and behavioral health can be accomplished with the help of technology solutions that can address the problems of workforce shortages and competencies. Use of these technologies alone or in combination is a growing area of research and development and an untapped frontier that warrants further investigation.
引用
收藏
页数:8
相关论文
共 24 条
[1]   Collaborative care for depression and anxiety problems [J].
Archer, Janine ;
Bower, Peter ;
Gilbody, Simon ;
Lovell, Karina ;
Richards, David ;
Gask, Linda ;
Dickens, Chris ;
Coventry, Peter .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2012, (10)
[2]   Unpacking Collaborative Care for Depression: Examining Two Essential Tasks for Implementation [J].
Bao, Yuhua ;
Druss, Benjamin G. ;
Jung, Hye-Young ;
Chan, Ya-Fen ;
Unutzer, Jurgen .
PSYCHIATRIC SERVICES, 2016, 67 (04) :418-424
[3]   Fundamentals for Future Mobile-Health (mHealth): A Systematic Review of Mobile Phone and Web-Based Text Messaging in Mental Health [J].
Berrouiguet, Sofian ;
Baca-Garcia, Enrique ;
Brandt, Sara ;
Walter, Michel ;
Courtet, Philippe .
JOURNAL OF MEDICAL INTERNET RESEARCH, 2016, 18 (06)
[4]   A prospective randomized trial examining health care utilization in individuals using multiple smartphone-enabled biosensors [J].
Bloss, Cinnamon S. ;
Wineinger, Nathan E. ;
Peters, Melissa ;
Boeldt, Debra L. ;
Ariniello, Lauren ;
Kim, Ju Young ;
Sheard, Judith ;
Komatireddy, Ravi ;
Barrett, Paddy ;
Topol, Eric J. .
PEERJ, 2016, 4
[5]   Depression is a risk factor for noncompliance with medical treatment -: Meta-analysis of the effects of anxiety and depression on patient adherence [J].
DiMatteo, MR ;
Lepper, HS ;
Croghan, TW .
ARCHIVES OF INTERNAL MEDICINE, 2000, 160 (14) :2101-2107
[6]  
Fisher E, POPUL HLTH MANAG
[7]  
Fortney J, 2016, PSYCH SERV AHEAD PRI
[8]   Practice-Based Versus Telemedicine-Based Collaborative Care for Depression in Rural Federally Qualified Health Centers: A Pragmatic Randomized Comparative Effectiveness Trial [J].
Fortney, John C. ;
Pyne, Jeffrey M. ;
Mouden, Sip B. ;
Mittal, Dinesh ;
Hudson, Teresa J. ;
Schroeder, Gary W. ;
Williams, David K. ;
Bynum, Carol A. ;
Mattox, Rhonda ;
Rost, Kathryn M. .
AMERICAN JOURNAL OF PSYCHIATRY, 2013, 170 (04) :414-425
[9]   The Partnership Access Line Evaluating a Child Psychiatry Consult Program in Washington State [J].
Hilt, Robert J. ;
Romaire, Melissa A. ;
McDonell, Michael G. ;
Sears, Jeanne M. ;
Krupski, Antoinette ;
Thompson, Jeffery N. ;
Myers, Jim ;
Trupin, Eric W. .
JAMA PEDIATRICS, 2013, 167 (02) :162-168
[10]   Project ECHO (Extension for Community Healthcare Outcomes): A new model for educating primary care providers about treatment of substance use disorders [J].
Komaromy, Miriam ;
Duhigg, Dan ;
Metcalf, Adam ;
Carlson, Cristina ;
Kalishman, Summers ;
Hayes, Leslie ;
Burke, Tom ;
Thornton, Karla ;
Arora, Sanjeev .
SUBSTANCE ABUSE, 2016, 37 (01) :20-24