Value Perceptions of Integrative Health Care: A Study of Primary Care Physicians and Professional Clinical Counselors

Miller, Holly; Hall, Scott E.; Hunley, Sawyer A.

doi:10.1023/b:jocp.0000022311.91263.92

Cited by 5 publications

(5 citation statements)

References 12 publications

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“…Furthermore, this study filled a major gap by including diverse members of the healthcare team (e.g. medical assistants, dental hygienist, dentist, nurse practitioners, clinical nurse, social work, behavioural and mental health providers, health promotion and public health staff, and administration) from all levels of staff within the Centre [ 14 , 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

“…We hypothesized that participation in the focus group discussions would result in improved scores on the five scales designed to measure collaboration. The discussion generated by the focus groups was expected to facilitate more open communication and understanding as research has suggested that communication between providers facilitates collaboration [ 16 ]. It was, therefore, expected that participation in the focus groups would result in providers’ improved perceptions of collaboration at the healthcare centre.…”

Section: Introductionmentioning

confidence: 99%

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Providers’ perspectives on collaboration

Bruner¹,

Waite

Davey³

2011

Int J Integr Care

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ObjectiveChanges in models of health care are required to better meet the needs of diverse, underserved patient populations. Collaboration among providers is one way to promote accessible, comprehensive and continuous care in healthcare organizations. This paper describes the quantitative findings from two time points that examined providers’ views of collaboration among a sample of diverse personnel (e.g. clinical nurses, social workers, dental providers, mental health providers, clerical staff, medical assistants, public health staff, and administrators) within a federally qualified nurse managed health care centre in the United States.MethodsThe quantitative arm of a mixed-method study is presented in this paper. Two instruments, the Collaboration and Satisfaction About Care Decisions Scale and the University of the West of England Interprofessional Questionnaire (comprised of 4 subscales–Communication and Teamwork Scale, Interprofessional Learning Scale, Interprofessional Interaction Scale, and Interprofessional Relationships Scale) were administered to providers at baseline and three to eight months following six same discipline focus group discussions on collaboration, in order to evaluate whether participating in the focus group discussions changed providers’ views of collaboration. A summary of the focus group data which were published elsewhere is additionally summarized to help provide insight to the quantitative findings. Thirty-nine staff participated.ResultsPaired t-tests revealed that only one scale out of the five, Collaboration and Satisfaction About Care Decisions Scale (33.97 at time one and 37.45 at time two), significantly and positively changed after the focus group discussion (p=0.046). Providers’ views on collaboration ranged from positive to moderate views of collaboration; most measures revealed a non-significant improvement after the focus group discussions. Staff with some graduate school reported the greatest satisfaction with decisions for the patient, and those with high school reported the lowest satisfaction with decisions for the patient. Respondents with a graduate degree had the most positive views of interprofessional relationships, whilst those with either a high school degree or bachelor’s degree had the most negative views of interprofessional relationships. ANOVAs by professional role revealed the least positive views of collaboration for provider groups with lower levels of education, with upper administration reporting the most positive views on collaboration.ConclusionAlthough the discussion generated by the focus groups was expected to facilitate communication, and research has suggested that communication between providers facilitates collaboration, only one subscale evaluating providers’ views of collaboration positively and significantly changed after the focus group discussion. The wide range of views on collaboration suggests there are diverse perspectives on collaboration among the staff based on professional roles and levels of education, with upper administration...

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Providers’ perspectives on collaboration

Bruner¹,

Waite

Davey³

2011

Int J Integr Care

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“…Much less is known about mental health providers’ perspectives on collaborative communication with pediatricians. A small body of research indicates that mental health providers also view collaborative relationships with PCPs as key to successful treatment (Kilbourne et al, 2012; Miller et al, 2004; Pereira et al, 2009). …”

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confidence: 99%

Is it time to talk? Understanding specialty child mental healthcare providers' decisions to engage in interdisciplinary communication with pediatricians

Reiß

Greene

Ford

2017

Social Science & Medicine

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Communication between pediatric mental health and primary care providers is often inconsistent and frequently rated as unsatisfactory by providers of both disciplines. While numerous studies report pediatricians’ desire for increased feedback from mental health providers, less is known about mental health providers’ perspectives on collaborative communication with pediatricians. In the current qualitative study, 9 practitioners at 2 mental health practices participated in interviews about their experiences related to collaborating and communicating with pediatric providers. The interviews were analyzed inductively using thematic analysis procedures. Mental health providers consistently described the decision to communicate with pediatric primary care providers as occurring primarily when initiated by them, and on a “case by case” basis. Four determinants of the decision to initiate communication emerged from the interviews: severity of client concerns, mental health providers’ own positive beliefs about collaborative/integrative mental health-pediatric care, perceptions of and past experiences with the primary care providers with whom they interact, and professional relationships with specific primary care providers. The findings of this study suggest that understanding and addressing the attitudes and beliefs that underlie both mental health and pediatric health care providers’ decisions to engage in interprofessional communication is essential to establishing truly collaborative care.

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“…In a recent study of the co-management of pediatric depression and anxiety, communication between mental health and primary care providers occurred for only 6% of patients, despite the inclusion of communication templates (in the absence of relationship-building components) in a pediatric toolkit (Rubin et al, 2014). Nevertheless, providers in both professions agree that regular contact is important for optimal patient care (Miller, Hall, & Hunley, 2004). …”

Section: Improving Collaborative Practicementioning

confidence: 99%

Strengthening the Coordination of Pediatric Mental Health and Medical Care: Piloting a Collaborative Model for Freestanding Practices

Greene

Ford

Ward-Zimmerman³

et al. 2016

Child Youth Care Forum

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BACKGROUND Collaborative pediatric mental health and primary care is increasingly recognized as optimal for meeting the needs of children with mental health problems. This paper describes the challenges faced by freestanding specialty mental health clinics and pediatric health practices to provide such coordinated mind-and-body treatment. It describes critical elements of a proactive approach to achieving collaborative pediatric care under real-world circumstances using the patient-centered medical home neighborhood (PCMH-N) model. OBJECTIVE The current study evaluates the field test of the Practitioner-Informed Model to Facilitate Interdisciplinary Collaboration (PIM-FIC), a systematic approach to improving inter-professional collaboration by building relationships and enhancing communication between pediatric mental health and primary care practices. METHODS Thirty-nine providers at two mental health and two pediatric primary care practices participated in a pilot project and completed surveys prior to and following their participation. Key informant interviews were also conducted prior to the project. RESULTS Participating practitioners’ survey and interview responses indicate that the quantity and quality of communication between pediatric mental and medical health care providers increased post-project, as did satisfaction with overall collaboration. CONCLUSIONS Improving relationships and communication are first steps in building the infrastructure to support effective coordinated care. Project results highlight practical and easily implemented strategies that pediatric mental health and primary care practices can take to strengthen their collaboration. Findings also suggest a need for collaborative care policies and competencies for child mental health providers working in freestanding practices within the PCMH-N.

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Value Perceptions of Integrative Health Care: A Study of Primary Care Physicians and Professional Clinical Counselors

Cited by 5 publications

References 12 publications

Providers’ perspectives on collaboration

Providers’ perspectives on collaboration

Is it time to talk? Understanding specialty child mental healthcare providers' decisions to engage in interdisciplinary communication with pediatricians

Strengthening the Coordination of Pediatric Mental Health and Medical Care: Piloting a Collaborative Model for Freestanding Practices

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