Barriers and Enablers to Integrating Mental Health into Primary Care: A Policy Analysis

Durbin, Anna; Durbin, Janet; Hensel, Jennifer; Deber, Raisa

doi:10.1007/s11414-013-9359-6

Cited by 45 publications

(33 citation statements)

References 65 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Providers are able to collaborate on cases and coordinate treatment plans in a routine fashion. 8,9 It is unknown, however, whether integrated care teams actually serve as a buffer to the risks of burnout in physicians. In this study, we explored whether higher levels of integrated care practice are associated with lower rates of burnout and depersonalization of primary care physicians.…”

mentioning

confidence: 99%

Associations Between Integrated Care Practice and Burnout Factors of Primary Care Physicians

Zubatsky

Pettinelli

Salas

et al. 2018

Fam Med

View full text Add to dashboard Cite

Background and Objectives: Physician burnout is increasingly problematic across many health care settings. Despite this trend, little is known about whether the type of collaboration in these settings may potentially help curb this trend. We explored whether higher levels of integrated care practice are associated with reduced burnout for physicians across settings. Methods: A national survey was sent to health care professionals who work in a variety of medical settings. Primary care physicians (n=288) were a subset of this sample and were asked about their practice demographics and perceptions of burnout. A shortened version of the Maslach Burnout Inventory (MBI) assessed for areas of burnout in physicians. Results: Higher levels of integrated care were associated with higher personal accomplishment (B=1.89, 95% CI:0.47, 3.31) and lower depersonalization (B=-2.48, 95% CI:-4.54, -0.42) in routine practice on the MBI. No significant associations were found between MBI scores and both years of practice at a current site or number of providers at the site. Conclusions: While physician burnout continues to be a worsening problem, integrated care may be an additional strategy to help curb this trend. Administrators need to consider the value of integrated practice in addressing physician wellness—the potentially next big aim of health care.

show abstract

mentioning

confidence: 99%

Associations Between Integrated Care Practice and Burnout Factors of Primary Care Physicians

Zubatsky

Pettinelli

Salas

et al. 2018

Fam Med

View full text Add to dashboard Cite

show abstract

“…Given that the bulk of literature on primary care incentives focuses on single-provider models of care, future research is needed to generate knowledge about incentive models relevant for interprofessional primary care settings. Realigning incentive systems for interprofessional primary care contexts is necessary if optimal prevention and management of CMDs is going to be achieved in Canada (Dewa et al 2001; Durbin et al 2016; Mulvale et al 2008; Rush et al 2013; Steele et al 2013). Understanding incentives and disincentives influencing care is essential in order to achieve greater integration and capacity for care (Ashcroft et al 2014; Craven and Bland 2013).…”

Section: Discussionmentioning

confidence: 99%

A Qualitative Study on Incentives and Disincentives for Care of Common Mental Disorders in Ontario Family Health Teams

Ashcroft

Silveira

McKenzie

2016

hcpol

View full text Add to dashboard Cite

Background: An opportunity to address the needs of patients with common mental disorders (CMDs) resides in primary care. Barriers are restricting availability of treatment for CMDs in primary care. By understanding the incentives that promote and the disincentives that deter treatment for CMDs in a collaborative primary care context, this study aims to help contribute to goals of greater access to mental healthcare. Method: A qualitative pilot study using semi-structured interviews with thematic analysis. Results: Participants identified 10 themes of incentives and disincentives influencing quality treatment of CMDs in a collaborative primary care setting: high service demands, T

show abstract

“…Studies of these models have demonstrated increased patient and provider satisfaction as well as significant reductions in treatment delays and costs. [3][4][5] collaborative care…”

Section: Introductionmentioning

confidence: 99%

Collaborative care models for integrating mental health and primary care

Maskell¹,

Rudkovska²,

Kfrerer³

et al. 2017

UWOMJ

View full text Add to dashboard Cite

Background: Mental health service demands in Ontario often result in long wait times and a lack of access to specialized services. As a result, primary care providers are frequently required to provide mental health care for patients with complex diagnoses despite a lack of support or sufficient training. To address these issues, a shift toward collaborative models of mental health care delivery is occurring. Objective: This paper aims to assess whether evidence-based policy recommendations to improve collaborative mental health care are addressed in the recent Patients First documents. Methods: To achieve this, a qualitative analysis was conducted using NVivo10©. Results: While many of the evidence-based policy recommendations were mirrored in the Patients First documents, very few addressed collaborative mental health care directly. Implications: More research is required to fully understand the effects of the implementation of Patients First on mental health systems and services.

show abstract

Barriers and Enablers to Integrating Mental Health into Primary Care: A Policy Analysis

Cited by 45 publications

References 65 publications

Associations Between Integrated Care Practice and Burnout Factors of Primary Care Physicians

Associations Between Integrated Care Practice and Burnout Factors of Primary Care Physicians

A Qualitative Study on Incentives and Disincentives for Care of Common Mental Disorders in Ontario Family Health Teams

Collaborative care models for integrating mental health and primary care

Contact Info

Product

Resources

About