关键词: electronic health records health informatics health metrics integrated behavioral health measurement-based care mental health multidisciplinary research patient care team population health primary care psychotherapy quality improvement

Mesh : Adult Humans Child Female Communication Databases, Factual Educational Status Health Services Psychotherapy

来  源:   DOI:10.1370/afm.2927

Abstract:
Many individuals with behavioral health challenges receive services in primary care, and integrated behavioral health (IBH) programs can help increase access to evidence-based interventions. IBH programs can benefit substantially from integrating standardized tracking databases that allow for the implementation of measurement-based care to evaluate patient-, clinician-, and practice-level outcomes. We describe the development and integration of Mayo Clinic\'s pediatric and adult primary care psychotherapy tracking database.
IBH practice leaders directed the development of a large psychotherapy tracking database that continuously populates from Mayo Clinic\'s electronic health record system. The database captures numerous patient variables including demographics, behavioral health and substance use issues, psychotherapy principles used, and self-reported symptoms. We retrieved current data for patients empaneled in Mayo Clinic\'s pediatric and adult primary care psychotherapy programs from June 2014 to June 2022.
The tracking database contained data for 16,923 adult patients and 6,298 pediatric patients. The mean age of adult patients was 43.2 years (SD 18.3), 88.1% were non-Latine White, and 66.7% identified as female. The mean age of pediatric patients was 11.6 years (SD 4.2), 82.5% were non-Latine White, and 56.9% identified as female. We provide examples of practical applications of the database across clinical, educational, research, and administrative domains.
The development and integration of a psychotherapy tracking database supports clinician communication, examination of patient outcomes, practice quality improvement efforts, and clinically relevant research. Our description of Mayo Clinic\'s IBH database may serve as a model for other IBH practices.
摘要:
目标:许多有行为健康挑战的人接受初级保健服务,和综合行为健康(IBH)计划可以帮助增加对循证干预措施的访问。IBH计划可以从整合标准化的跟踪数据库中受益匪浅,这些数据库允许实施基于测量的护理来评估患者-,临床医生-,和实践层面的成果。我们描述了MayoClinic的儿科和成人初级保健心理治疗跟踪数据库的开发和整合。
方法:IBH实践领导者指导开发了一个大型心理治疗跟踪数据库,该数据库不断从梅奥诊所的电子健康记录系统填充。该数据库捕获了许多患者变量,包括人口统计,行为健康和物质使用问题,使用的心理治疗原则,和自我报告的症状。我们检索了2014年6月至2022年6月期间在梅奥诊所的儿科和成人初级保健心理治疗计划中的患者的当前数据。
结果:跟踪数据库包含16,923名成年患者和6,298名儿科患者的数据。成年患者的平均年龄为43.2岁(SD18.3),88.1%是非拉丁白人,66.7%被确认为女性。儿科患者的平均年龄为11.6岁(SD4.2),82.5%为非拉丁白人,56.9%为女性。我们提供了数据库在临床,教育,研究,和管理域。
结论:心理治疗跟踪数据库的开发和整合支持临床医生沟通,检查患者的结果,实践质量改进工作,和临床相关研究。我们对梅奥诊所IBH数据库的描述可以作为其他IBH实践的模型。
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