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首页> 外文期刊>Journal of pediatric psychology >The Scope of Behavioral Health Integration in a Pediatric Primary Care Setting
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The Scope of Behavioral Health Integration in a Pediatric Primary Care Setting

机译：儿科基层医疗机构行为健康整合的范围

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Objective: The current study examines the scope of integrated behavioral health services provided by behavioral health clinicians in pediatric primary care. Methods: A cross-sectional electronic health record review was conducted to characterize integrated behavioral health services including consultation types, recommendations, and medical diagnoses. Services were provided over a 6-year period in an urban, residency-training clinic serving a primarily publicly insured population. Results: Of the 4,440 patients seen by behavioral health clinicians (BHCs), 2,829 (63.7%) were seen during well-child checks to address a wide array of presenting problems. The five consultation types "Healthy Steps (6%), pregnancy-related depression (17.7%), developmental (19.2%), mental health (53.2%), and psychopharmacology (5%)" were characterized by differences in demographics, presenting problems, recommendations, and medical diagnoses. Conclusions: Pediatric BHCs provide a wide range of services to pediatric populations in the context of integrated behavioral health programs. Implications for workforce capacity development, evaluation of outcomes and impact, and sustainability are discussed.
机译：目的：本研究探讨了由行为健康临床医生在儿科初级保健中提供的综合行为健康服务的范围。方法：进行了横断面电子健康记录审查，以表征综合行为健康服务，包括咨询类型，建议和医疗诊断。在一个为期6年的城市住院医师培训诊所中提供服务，主要服务于公共保险人群。结果：在行为健康临床医生（BHCs）所见的4,440例患者中，有2,829例（63.7％）是在进行良好儿童检查期间发现的，以解决各种各样的现存问题。五种咨询类型为“健康步骤（6％），与妊娠相关的抑郁症（17.7％），发育性（19.2％），心理健康（53.2％）和心理药理学（5％）”，其特征是人口统计差异，存在问题，建议和医学诊断。结论：在综合行为健康计划的背景下，儿科BHC为儿科人群提供了广泛的服务。讨论了对劳动力能力发展，成果和影响评估以及可持续性的影响。

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