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Optimizing Integrated Behavioral Healthcare Implementation in Primary Care Settings Using Latent Class Analysis- [electronic resource]
Optimizing Integrated Behavioral Healthcare Implementation in Primary Care Settings Using Latent Class Analysis- [electronic resource]
상세정보
- 자료유형
- 학위논문파일 국외
- 최종처리일시
- 20240214095843
- ISBN
- 9798380123259
- DDC
- 300.1
- 서명/저자
- Optimizing Integrated Behavioral Healthcare Implementation in Primary Care Settings Using Latent Class Analysis - [electronic resource]
- 발행사항
- [S.l.]: : University of Minnesota., 2021
- 발행사항
- Ann Arbor : : ProQuest Dissertations & Theses,, 2021
- 형태사항
- 1 online resource(139 p.)
- 주기사항
- Source: Dissertations Abstracts International, Volume: 85-02, Section: B.
- 주기사항
- Advisor: Piehler, Timothy;August, Gerald.
- 학위논문주기
- Thesis (Ph.D.)--University of Minnesota, 2021.
- 사용제한주기
- This item must not be sold to any third party vendors.
- 초록/해제
- 요약Access to high-quality behavioral health services is a struggle for millions of Americans and an ongoing frustration for many medical and mental health professionals who refer for or provide this care. Over the past several decades, several models of care have been developed in attempts to improve this access, but with varying degrees of success in implementation and dissemination. Integrated behavioral healthcare, or IBH, is an umbrella term for these models, which aim to bring mental health professionals into primary care medical clinics for more direct mental health access. The current research consists of two studies that examine a community sample of 102 primary care medical clinics that were in varying stages of implementation of the IBH practice approach. In the first study, I used latent class analysis to identify classes of clinics based on their implementation of IBH processes and structures and then examined the influence of context variables on the likelihood that an implementation structure will result. Results were four classes of clinics: Low IBH, Structural IBH, Partial IBH, and Strong IBH; Partial IBH clinics tended to be more rural, in smaller organizations, and to serve lower SES-risk patients. There were noticeable differences in levels of implementation for many of the components of IBH, which has implications for supporting current and future IBH implementation projects toward success. In the second study, I explored the possibility that IBH implementation classes moderate health disparities. Results indicated that IBH may improve healthcare management in some disparate situations, but that IBH alone cannot resolve healthcare disparities and is likely only one of many primary care innovations that practices must adopt to address healthcare disparities.
- 일반주제명
- Social research.
- 일반주제명
- Health care management.
- 일반주제명
- Therapy.
- 일반주제명
- Health sciences.
- 기타저자
- University of Minnesota Family Social Science
- 기본자료저록
- Dissertations Abstracts International. 85-02B.
- 기본자료저록
- Dissertation Abstract International
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■00520240214095843
■006m o d
■007cr#unu||||||||
■020 ▼a9798380123259
■035 ▼a(MiAaPQ)AAI28545062
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a300.1
■1001 ▼aBuchanan, Gretchen.
■24510▼aOptimizing Integrated Behavioral Healthcare Implementation in Primary Care Settings Using Latent Class Analysis▼h[electronic resource]
■260 ▼a[S.l.]:▼bUniversity of Minnesota. ▼c2021
■260 1▼aAnn Arbor :▼bProQuest Dissertations & Theses, ▼c2021
■300 ▼a1 online resource(139 p.)
■500 ▼aSource: Dissertations Abstracts International, Volume: 85-02, Section: B.
■500 ▼aAdvisor: Piehler, Timothy;August, Gerald.
■5021 ▼aThesis (Ph.D.)--University of Minnesota, 2021.
■506 ▼aThis item must not be sold to any third party vendors.
■520 ▼aAccess to high-quality behavioral health services is a struggle for millions of Americans and an ongoing frustration for many medical and mental health professionals who refer for or provide this care. Over the past several decades, several models of care have been developed in attempts to improve this access, but with varying degrees of success in implementation and dissemination. Integrated behavioral healthcare, or IBH, is an umbrella term for these models, which aim to bring mental health professionals into primary care medical clinics for more direct mental health access. The current research consists of two studies that examine a community sample of 102 primary care medical clinics that were in varying stages of implementation of the IBH practice approach. In the first study, I used latent class analysis to identify classes of clinics based on their implementation of IBH processes and structures and then examined the influence of context variables on the likelihood that an implementation structure will result. Results were four classes of clinics: Low IBH, Structural IBH, Partial IBH, and Strong IBH; Partial IBH clinics tended to be more rural, in smaller organizations, and to serve lower SES-risk patients. There were noticeable differences in levels of implementation for many of the components of IBH, which has implications for supporting current and future IBH implementation projects toward success. In the second study, I explored the possibility that IBH implementation classes moderate health disparities. Results indicated that IBH may improve healthcare management in some disparate situations, but that IBH alone cannot resolve healthcare disparities and is likely only one of many primary care innovations that practices must adopt to address healthcare disparities.
■590 ▼aSchool code: 0130.
■650 4▼aSocial research.
■650 4▼aHealth care management.
■650 4▼aTherapy.
■650 4▼aHealth sciences.
■653 ▼aBehavioral healthcare access
■653 ▼aHealthcare disparities
■653 ▼aIntegrated behavioral healthcare
■653 ▼aPractice transformation
■653 ▼aPrimary care behavioral health
■690 ▼a0344
■690 ▼a0769
■690 ▼a0212
■690 ▼a0566
■71020▼aUniversity of Minnesota▼bFamily Social Science.
■7730 ▼tDissertations Abstracts International▼g85-02B.
■773 ▼tDissertation Abstract International
■790 ▼a0130
■791 ▼aPh.D.
■792 ▼a2021
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T16930957▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
■980 ▼a202402▼f2024
