Evidence map›Paper›PMID 37696022›Full record

ArticleFamily medicine2023

Integrated Behavioral Health in Primary Care Residency and Nonresidency Practices.

Kris Pui Kwan Ma, Brenda L Mollis, Imara I West, Jennifer Rolfes, Jessica Clifton, Rodger Kessler, Laura-Mae Baldwin, Prama Chakravarti, Sarah Dewane, Winslow Gerrish and 4 more

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In one paragraph

Article in Family medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Kris Pui Kwan MaKris Pui Kwan Ma, Department of Family Medicine, University of Washington School of Medicine, Seattle, WA.
Brenda L MollisDepartment of Family Medicine, University of Washington School of Medicine, Seattle, WA.
Imara I WestDepartment of Psychiatry & Behavioral Sciences, University of Washington School of Medicine, Seattle, WA.
Jennifer RolfesCornerstone Whole Healthcare Organization Inc, Payette, ID.
Jessica CliftonDepartment of Medicine, University of Vermont, Burlington, VT.
Rodger KesslerDepartment of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO.
Laura-Mae BaldwinDepartment of Family Medicine, University of Washington School of Medicine, Seattle, WA.
Prama ChakravartiEastside Psychological Associates, Issaquah, WA.
Sarah DewaneAlaska Family Medicine Residency, Anchorage, AK.
Winslow GerrishFull Circle Health/Family Medicine Residency of Idaho, Boise, ID.
John HolmesDepartment of Family Medicine, Idaho State University, Pocatello, ID.
Katie KarlsonKadlec Family Medicine Residency, Richland, WA.
Verena RobertsDepartment of Family Medicine, Idaho State University, Pocatello, ID.
Kari A StephensDepartment of Family Medicine, University of Washington School of Medicine, Seattle, WA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesIntegrated behavioral health (BH) is becoming a preferred model of care for primary care because it improves patient outcomes and satisfaction. Little is known about whether residency practices are consistently modeling this preferred care model relative to real-world nonresidency practices. The study compared levels of BH integration, patient health outcomes, and satisfaction with care between residency practices and nonresidency practices with colocated BH providers.

methodsBaseline data were collected in 2018-2019 from 44 practices and their adult patients with chronic conditions participating in a cluster-randomized, pragmatic trial to improve BH integration. The sample included 18 (40.9%) residency and 26 (59.1%) nonresidency practices, with 1,817 (45.3%) patients from residency practices and 2,190 (54.7%) patients from nonresidency practices. Outcomes including BH integration levels (the Practice Integration Profile), patient health outcomes (the PROMIS-29), and patient satisfaction with care (the Consultation and Relational Empathy scale) were compared between residency and nonresidency practices using multivariate regression analyses.

resultsNo differences were found between BH integration levels, patient health outcomes, and patient satisfaction with care between residency and nonresidency practices. In a sample of primary care practices with colocated BH providers, residencies had BH integration and patient outcomes similar to real-world practices.

conclusionsPrimary care practices with residency programs reported comparable levels of BH integration, patient health outcomes, and patient satisfaction compared to practices without residency programs. Both types of practices require interventions and resources to help them overcome challenges associated with dissemination of high levels of BH integration.

Indexed as

Internship and ResidencyAdultEmpathyHealth StatusHumansPatient SatisfactionPrimary Health Care

Identifiers

PMID37696022
PMCPMC10622053

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.