Organizational Correlates of Implementation of Colocation of Mental Health and Primary Care in the Veterans Health Administration

被引:10
作者
Guerrero, Erick G. [1 ]
Heslin, Kevin C. [2 ]
Chang, Evelyn [3 ]
Fenwick, Karissa [1 ]
Yano, Elizabeth [3 ]
机构
[1] Univ So Calif, Sch Social Work, Los Angeles, CA 90089 USA
[2] Vet Hlth Adm, Vet Emergency Management Evaluat Ctr, North Hills, CA USA
[3] Vet Hlth Adm, Ctr Study Healthcare Innovat Implementat & Policy, North Hills, CA USA
关键词
Integration of mental health and primary care; PC-MH; Veterans health administration; Organizational correlates; QUALITY-OF-CARE; COLLABORATIVE CARE; SYSTEM; LEADERSHIP; CLIMATE; INTEGRATION; DEPRESSION; READINESS; SERVICES; AFFAIRS;
D O I
10.1007/s10488-014-0582-0
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
This study explored the role of organizational factors in the ability of Veterans Health Administration (VHA) clinics to implement colocated mental health care in primary care settings (PC-MH). The study used data from the VHA Clinical Practice Organizational Survey collected in 2007 from 225 clinic administrators across the United States. Clinic degree of implementation of PC-MH was the dependent variable, whereas independent variables included policies and procedures, organizational context, and leaders' perceptions of barriers to change. Pearson bivariate correlations and multivariable linear regression were used to test hypotheses. Results show that depression care training for primary care providers and clinics' flexibility and participation were both positively correlated with implementation of PC-MH. However, after accounting for other factors, regressions show that only training primary care providers in depression care was marginally associated with degree of implementation of PC-MH (p = 0.051). Given the importance of this topic for implementing integrated care as part of health care reform, these null findings underscore the need to improve theory and testing of more proximal measures of colocation in future work.
引用
收藏
页码:420 / 428
页数:9
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