Abstract：
Federally Qualified Health Centers are charged with providing comprehensive health care in traditionally underserved areas, underscoring their importance in caring for and promoting health equity for the large portion of historically marginalized communities in this setting. There is a significant need to ensure Federally Qualified Health Centers are equipped to appropriately address the immense behavioral health needs common among patients served. Care coordination is an evidence-based model that is increasingly utilized in Federally Qualified Health Centers to improve care equity and outcomes. Addressing and supporting behavioral health needs is a key aspect of such care coordination models. Context-specific considerations and programmatic supports, particularly those that address the needs of care coordinators and the complex patients they serve, are needed to ensure such models can appropriately meet and address the behavioral health concerns of the diverse populations served. The goal of this study was to present a mixed-methods case study that systematically applies implementation frameworks to conduct a needs and context assessment to inform the development and testing of evidence-based practice strategies and implementation support as part of a care coordination program within a partnered Federally Qualified Health Center.
摘要：
联邦合格的健康中心负责在传统上服务不足的地区提供全面的医疗保健，强调在这种情况下，它们在照顾和促进大部分历史边缘化社区的健康公平方面的重要性。非常需要确保联邦合格的健康中心具备适当的能力，以满足所服务患者常见的巨大行为健康需求。护理协调是一种基于证据的模型，在联邦合格的健康中心中越来越多地用于改善护理公平性和结果。满足和支持行为健康需求是此类护理协调模型的关键方面。特定上下文的考虑和方案支持，特别是那些满足护理协调员和他们所服务的复杂患者需求的人，需要确保这些模型能够适当地满足和解决所服务的不同人群的行为健康问题。这项研究的目的是提出一个混合方法的案例研究，系统地应用实施框架来进行需求和背景评估，以告知基于证据的实践策略和实施支持的开发和测试，作为合作的联邦合格健康中心内的护理协调计划的一部分。
