Comparing primary care pediatricians’ perceptions of clinics with and without integrated behavioral health

Lancaster, Blake M.; Cook, Andrew; Bruni, Teryn; Sturza, Julie; Sevecke, Jessica R.; Ham, Hannah; Knight, Roy W.; Hoffses, Kathryn W.; C, Wickham; Orringer, Kelly

doi:10.1017/s1463423618000579

Cited by 7 publications

(5 citation statements)

References 18 publications

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“… 6 Primary care providers endorse high levels of satisfaction with integrated models of care and prefer it to models that rely on off-site referrals. 7 - 10 In pediatric populations, parents generally initiate treatment; therefore, parent perceptions and acceptance of this treatment model are vital. 11 However, research on parent satisfaction and attitudes toward integrated mental health treatment is lacking.…”

Section: Introductionmentioning

confidence: 99%

Notes from the Field: Results from the Parent Acceptance of Pediatric Integrated Care Survey

Bruni

Birnbaum

Turnier

et al. 2021

J Prim Care Community Health

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Objective: To collect data and gain an understanding of parental satisfaction with and attitudes toward treatment in a pediatric integrated primary care (IPC) model. Data Sources: Primary data were collected across the United States over the course of a few months. Study Design: The 35-item, Parent Acceptance of Pediatric Integrated Care Survey (PAPICS) was developed by a panel of IPC experts. The survey was then distributed through the Qualtrics Panels Service with recruited participants (i.e., parents with children under 18-years-old) receiving a $4.00 incentive for their involvement. Data Collection/Extraction Methods: A single exploratory factor analysis was performed along with four factor retention tests and clinical judgment to guide factor selection. A 5-factor structure was selected. Principal Findings: Parents reported a high level of comfort with an IPC model and a favorable attitude toward child therapy, with some concerns regarding psychological stigma and privacy. Notable variation in parents’ beliefs regarding one-on-one psychological service delivery were observed. Conclusions: Results provided evidence for parental openness to an IPC model. Findings also highlighted potential fundamental misunderstandings regarding evidence-based psychological treatment methods for children and adolescents.

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Section: Introductionmentioning

confidence: 99%

Notes from the Field: Results from the Parent Acceptance of Pediatric Integrated Care Survey

Bruni

Birnbaum

Turnier

et al. 2021

J Prim Care Community Health

Self Cite

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“…MPS with IC has been demonstrated in adult primary care (Miller-Matero et al, 2016). Regarding pediatric primary care, Lancaster and colleagues (2018) found that general pediatricians were more satisfied with BH availability and resources when BHPs were onsite. For subspecialty pediatric populations, and pediatric gastroenterology in particular, MPS with IC has been understudied and warrants further research.…”

mentioning

confidence: 99%

Medical provider satisfaction with integrated care in a pediatric gastroenterology clinic.

Nicolotti¹,

Koehler²,

Quinones³

et al. 2023

Families, Systems, & Health

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Introduction: Benefits of behavioral health (BH) integrated care (IC) in pediatric primary care have been demonstrated (Asarnow et al., 2015). Pediatric subspecialty care treats patients with high levels of medical and psychosocial vulnerability and complexity (Samsel et al., 2017), underscoring the need for increased IC. Medical provider satisfaction (MPS) with IC is highly relevant for the utilization and expansion of these services. The purpose of this preliminary study was to examine MPS related to BH IC services in a pediatric gastroenterology clinic. Method: Eight pediatric gastroenterology providers working in an outpatient clinic completed a 32-item survey (adapted from Corso et al., 2016) assessing their satisfaction with integrated BH care services. Descriptive statistics were utilized to examine and summarize provider satisfaction data. Results: Pediatric gastroenterology medical providers reported high levels of satisfaction with existing IC services and a preference for embedded versus colocated IC. They perceived provider-related and clinical benefits of IC, felt that addressing BH issues is important, and believed IC is a valued service. Medical providers expressed that they wanted expanded IC services, including an embedded psychologist at more locations, BH screenings for younger patients, and an electronic psychosocial screening process. Discussion: The results of this study align with research findings regarding high medical provider satisfaction with IC in primary care and a preference for embedded BH services (Asarnow et al., 2015). While this preliminary study is small in scale, it is an important initial step to better understand MPS with IC in pediatric subspecialty care.

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“…To overcome these barriers, patient-centered medical homes are increasingly integrating specialized BH services into primary care (Campo et al, 2015; Lancaster et al, 2018). Integrated care models improve clinical outcomes for patients with BH conditions, for example, decreasing the severity of depression and remission rates (Asarnow et al, 2015; Dietrich et al, 2004).…”

mentioning

confidence: 99%

Integrated behavioral health education using simulated patients for pediatric residents engaged in a primary care community of practice.

Jones¹,

Dadiz²,

Baldwin³

et al. 2022

Families, Systems, & Health

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Comparing primary care pediatricians’ perceptions of clinics with and without integrated behavioral health

Abstract: Study limitations included questions surrounding the validity of survey items to accurately assess PCP perceptions, lack of rigorous experimental design, and reliance on self-report data.

Cited by 7 publications

References 18 publications

Notes from the Field: Results from the Parent Acceptance of Pediatric Integrated Care Survey

Notes from the Field: Results from the Parent Acceptance of Pediatric Integrated Care Survey

Medical provider satisfaction with integrated care in a pediatric gastroenterology clinic.

Integrated behavioral health education using simulated patients for pediatric residents engaged in a primary care community of practice.

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