title: The description and evaluation of the implementation of an integrated healthcare model.
abstract: Two studies were conducted to examine the practical implementation of an integrated health care model in five primary care clinics in the Upstate New York Veterans Affairs (VA) system. The aims of the studies were: (a) to describe the basic clinical elements of the integrated health care service offered by behavioral health providers (BHPs) in the primary care setting, and (b) to evaluate the perceptions of providers and patients regarding integrated health care practices in their primary care clinics. In Study 1, we reviewed 180 electronic medical records of patients who met with a BHP in primary care. In Study 2, we used semistructured interviews and self-report questionnaires to collect information from 46 primary care providers, 12 BHPs, and 140 patients regarding their perceptions of integrated health care in their primary care clinics. Both studies illustrate a useful method for evaluating the practical implementation of integrated health care models.
authors.affiliation: VA Center for Integrated Healthcare, Syracuse, NY, USA. Jennifer.Funderburk@va.gov
authors.forename: Jennifer S
authors.initials: JS
authors.lastname: Funderburk
authors.forename: Dawn E
authors.initials: DE
authors.lastname: Sugarman
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Maisto
authors.forename: Paige
authors.initials: P
authors.lastname: Ouimette
authors.forename: Mary
authors.initials: M
authors.lastname: Schohn
authors.forename: Larry
authors.initials: L
authors.lastname: Lantinga
authors.forename: Laura
authors.initials: L
authors.lastname: Wray
authors.forename: Steven
authors.initials: S
authors.lastname: Batki
authors.forename: Bruce
authors.initials: B
authors.lastname: Nelson
authors.forename: Deb
authors.initials: D
authors.lastname: Coolhart
authors.forename: Kate
authors.initials: K
authors.lastname: Strutynski
mesh_terms: D001291:Attitude of Health Personnel; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D006801:Humans; D016347:Medical Records Systems, Computerized; D001523:Mental Disorders / Q000175:diagnosis / Q000628:therapy*; D008605:Mental Health Services / Q000458:organization & administration*; D009518:New York; D010346:Patient Care Management / Q000458:organization & administration; D017060:Patient Satisfaction; D011320:Primary Health Care / Q000458:organization & administration*; D014481:United States; D014493:United States Department of Veterans Affairs / Q000458:organization & administration