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首页> 外文期刊>Families, systems & health: the journal of collaborative family healthcare >Mapping Colocation: Using National Provider Identified Data to Assess Primary Care and Behavioral Health Colocation
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Mapping Colocation: Using National Provider Identified Data to Assess Primary Care and Behavioral Health Colocation

机译：Mapping Colocition：使用国家提供商确定的数据来评估初级保健和行为健康扑发

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Introduction: Evidence supports that integrated behavioral health care improves patient outcomes. Colocation, where health and behavioral health providers work in the same physical space, is a key element of integration, but national rates of colocation are unknown. We established national colocation rates and analyzed variation by primary care provider (PCP) type, practice size, rural/urban setting, Health and Human Services region, and state. Method: Data were from the Centers for Medicare & Medicaid Services' 2018 National Plan and Provider Enumeration System data set. Practice addresses of PCPs (family medicine, general practitioners, internal medicine, pediatrics, and obstetrician/gynecologists), social workers, and psychologists were geocoded to latitude and longitude coordinates. Distances were calculated; those 44% were colocated with a behavioral health provider. PCPs in urban settings were significantly more likely to be colocated than rural providers (46% vs. 26%). Family medicine and general practitioners were least likely to be colocated. Only 12% of PCPs who were the sole PCP at an address were colocated compared with 48% at medium-size practices (11-25 PCPs). Discussion: Although colocation is modestly expanding in the United States, it is most often occurring in large urban health centers. Efforts to expand integrated behavioral health care should focus on rural and smaller practices, which may require greater assistance achieving integration. Increased colocation can improve access to behavioral health care for rural, underserved populations. This work provides a baseline to assist policymakers and practices reach behavioral health integration.
机译：简介：证据支持综合行为保健改善患者结果。扑发，健康和行为健康提供者在同一物理空间中工作，是一体化的关键要素，但国家的扑发率未知。我们建立了国家定位率，并分析了初级保健提供者（PCP）类型，实践规模，农村/城市环境，健康和人类服务地区的变化。方法：数据来自Medicare＆Medicate Services的2018年国家计划和提供商枚举系统数据集。 PCP（家庭医学，全科医生，内科，儿科和产科医生/妇科/妇科学家）的实践地址，社会工作者和心理学家都被纬度和经度坐标。计算距离;那些44％的人与行为卫生提供者结合。城市环境中的PCP比农村供应商更容易被派生（46％对26％）。家庭医学和一般从业者最不可能被派生。只有12％的PCP，在地址上是唯一的PCP，与中等规模实践（11-25个PCP）相比，与48％相比。讨论：虽然在美国的主导是谦虚的扩展，但它通常发生在大型城市保健中心。扩大综合行为保健的努力应专注于农村和较小的做法，这可能需要更大的援助实现整合。增加的主定位可以改善对农村，欠缺群体的行为医疗保健的访问。这项工作提供了基准，以帮助政策制定者和实践达到行为健康融合。

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