東華大學圖書館 |

語系: 繁體中文

說明(常見問題)

回圖書館首頁

手機版館藏查詢

登入

回首頁

切換: 標籤 | MARC模式 | ISBD

FindBook

Google Book

Amazon

博客來

Collaborative Care Models for Behavioral Healthcare Services Integration.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Collaborative Care Models for Behavioral Healthcare Services Integration./
作者:	Halliday, Scott K.
面頁冊數:	1 online resource (169 pages)
附註:	Source: Dissertations Abstracts International, Volume: 84-10, Section: B.
Contained By:	Dissertations Abstracts International84-10B.
標題:	Public health. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30310880click for full text (PQDT)
ISBN:	9798379410728

Collaborative Care Models for Behavioral Healthcare Services Integration.
Halliday, Scott K.

Collaborative Care Models for Behavioral Healthcare Services Integration. - 1 online resource (169 pages)

Source: Dissertations Abstracts International, Volume: 84-10, Section: B.

Thesis (Ph.D.)--University of Washington, 2023.

Includes bibliographical references

Despite the widespread evidence of the effectiveness of integrated behavioral healthcare interventions at improving health outcomes, particularly among patients with comorbid chronic illnesses, their adoption into primary care delivery settings remains slow. This study evaluates the Collaborative Care Model, an evidence-based integrated behavioral healthcare intervention, in two different implementation contexts: a low-barrier HIV clinic in Seattle, Washington where care for depression and opioid use disorder was integrated into primary care, and four urban diabetes clinics in India where care for depression was integrated into diabetes care. The study had three distinct aims: to elicit the anticipated barriers and facilitators to implementing the Collaborative Care Model in low-barrier HIV care, to evaluate the acceptability and feasibility of the Collaborative Care Model in low-barrier HIV care, and to conduct a mediation analysis evaluating the effect of change in self-stigma on diabetes outcomes as mediated by depression symptom severity in urban diabetes care in India.We found that while the patients and stakeholders at a low-barrier HIV clinic were receptive to implementing the Collaborative Care Model, they identified as barriers the availability of resources in the inner implementation setting; practical concerns about the perceived contextual fit with low-barrier HIV care; and its anticipated suitability due to the burden of other behavioral health comorbidities and complete socio-economic needs. The Collaborative Care Model was acceptable and feasible to implement in a low-barrier HIV clinic but only with key adaptations to core interventions to improve its contextual fit. Of the 175 eligible patients, 36% of were screened, 24% were referred, 15% completed an intake, and 9% progressed to the engaged step of the care cascade. Whereas logistical challenges in the inner implementation setting and staff perceptions of its feasibility hindered patient progression through the care cascade from screening through engagement, the Behavioral Health Care Manager's ability to exemplify the clinic's values and culture, qualities underscoring patient satisfaction, facilitated patient progression through the care cascade. Depressive symptoms did not mediate the effect of change in self-stigma on diabetes outcomes and self-stigma scores did not vary longitudinally comparing patients being treated for depression via the Collaborative Care Model to enhanced standard of care in urban diabetes clinics in India.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023

Mode of access: World Wide Web

ISBN: 9798379410728Subjects--Topical Terms:

534748
Public health.
Subjects--Index Terms:

Delivery of health care integratedIndex Terms--Genre/Form:

542853
Electronic books.

Collaborative Care Models for Behavioral Healthcare Services Integration.
LDR:03958nmm a2200409K 4500 001 2357745
005 20230725053658.5
006 m o d
007 cr mn ---uuuuu
008 241011s2023 xx obm 000 0 eng d
020 $a 9798379410728
035 $a (MiAaPQ)AAI30310880
035 $a AAI30310880
040 $a MiAaPQ $b eng $c MiAaPQ $d NTU
100 1 $a Halliday, Scott K. $3 3698275
245 1 0 $a Collaborative Care Models for Behavioral Healthcare Services Integration.
264 0 $c 2023
300 $a 1 online resource (169 pages)
336 $a text $b txt $2 rdacontent
337 $a computer $b c $2 rdamedia
338 $a online resource $b cr $2 rdacarrier
500 $a Source: Dissertations Abstracts International, Volume: 84-10, Section: B.
500 $a Advisor: Rao, Deepa.
502 $a Thesis (Ph.D.)--University of Washington, 2023.
504 $a Includes bibliographical references
520 $a Despite the widespread evidence of the effectiveness of integrated behavioral healthcare interventions at improving health outcomes, particularly among patients with comorbid chronic illnesses, their adoption into primary care delivery settings remains slow. This study evaluates the Collaborative Care Model, an evidence-based integrated behavioral healthcare intervention, in two different implementation contexts: a low-barrier HIV clinic in Seattle, Washington where care for depression and opioid use disorder was integrated into primary care, and four urban diabetes clinics in India where care for depression was integrated into diabetes care. The study had three distinct aims: to elicit the anticipated barriers and facilitators to implementing the Collaborative Care Model in low-barrier HIV care, to evaluate the acceptability and feasibility of the Collaborative Care Model in low-barrier HIV care, and to conduct a mediation analysis evaluating the effect of change in self-stigma on diabetes outcomes as mediated by depression symptom severity in urban diabetes care in India.We found that while the patients and stakeholders at a low-barrier HIV clinic were receptive to implementing the Collaborative Care Model, they identified as barriers the availability of resources in the inner implementation setting; practical concerns about the perceived contextual fit with low-barrier HIV care; and its anticipated suitability due to the burden of other behavioral health comorbidities and complete socio-economic needs. The Collaborative Care Model was acceptable and feasible to implement in a low-barrier HIV clinic but only with key adaptations to core interventions to improve its contextual fit. Of the 175 eligible patients, 36% of were screened, 24% were referred, 15% completed an intake, and 9% progressed to the engaged step of the care cascade. Whereas logistical challenges in the inner implementation setting and staff perceptions of its feasibility hindered patient progression through the care cascade from screening through engagement, the Behavioral Health Care Manager's ability to exemplify the clinic's values and culture, qualities underscoring patient satisfaction, facilitated patient progression through the care cascade. Depressive symptoms did not mediate the effect of change in self-stigma on diabetes outcomes and self-stigma scores did not vary longitudinally comparing patients being treated for depression via the Collaborative Care Model to enhanced standard of care in urban diabetes clinics in India.
533 $a Electronic reproduction. $b Ann Arbor, Mich. : $c ProQuest, $d 2023
538 $a Mode of access: World Wide Web
650 4 $a Public health. $3 534748
650 4 $a Epidemiology. $3 568544
650 4 $a Health care management. $3 2122906
653 $a Delivery of health care integrated
653 $a Depression
653 $a HIV
653 $a Implementation science
653 $a Opioid-related disorders
653 $a Social stigma
655 7 $a Electronic books. $2 lcsh $3 542853
690 $a 0573
690 $a 0766
690 $a 0769
710 2 $a ProQuest Information and Learning Co. $3 783688
710 2 $a University of Washington. $b Global Health. $3 3178159
773 0 $t Dissertations Abstracts International $g 84-10B.
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30310880 $z click for full text (PQDT)