Abstract：
Lack of access to primary and behavioral healthcare is prevalent in communities experiencing systematically greater obstacles to healthcare. This study describes the implementation of the Coordinated Care Model in a nurse-led primary care clinic and identifies the essential factors for sustained integration. A mixed-methods explanatory sequential study design was used to collect and analyze quantitative and qualitative data. Participants reported an overall statistically significant mean increase (M = 2.47, SD ± 2.01, p < 0.001) in the level of integration pre-and post-integration. Qualitative results indicated that the optimization and accentuation of team strengths, the Lundeen model of holistic care, and addressing physical and psychological barriers lead to sustained level of integration. Integrated practices are essential in assessing and supporting the holistic needs of individuals, families, and communities. Future studies should examine facilitators or impediments to integrated practice in other healthcare settings, long-term health outcomes of clients in integrated care, and the cost-effectiveness of integration.
摘要：
在遇到系统性更大的医疗保健障碍的社区中，缺乏获得初级和行为医疗保健的机会很普遍。这项研究描述了在护士主导的初级保健诊所中实施协调护理模式，并确定了持续整合的基本要素。使用混合方法解释性序贯研究设计来收集和分析定量和定性数据。参与者报告了整合前后整合水平的总体统计学上的显着平均增加（M=2.47，SD±2.01，p<0.001）。定性结果表明，团队优势的优化和突出，整体护理的Lundeen模式，解决身体和心理障碍导致持续的融合水平。综合做法对于评估和支持个人的整体需求至关重要，家庭,和社区。未来的研究应该检查促进或障碍，在其他医疗机构的综合实践，综合护理客户的长期健康结果，以及整合的成本效益。
