INTRODUCTION Evidence supports that integrated behavioral health care improves patient outcomes. Colocation, where health and behavioral health providers work in the same physical space, is a key element of integration, but national rates of colocation are unknown. We established national colocation rates and analyzed variation by primary care provider (PCP) type, practice size, rural/urban setting, Health and Human Services region, and state. METHOD Data were from the Centers for Medicare & Medicaid Services' 2018 National Plan and Provider Enumeration System data set. Practice addresses of PCPs (family medicine, general practitioners, internal medicine, pediatrics, and obstetrician/gynecologists), social workers, and psychologists were geocoded to latitude and longitude coordinates. Distances were calculated; those < 0.01 miles apart were considered colocated. Bivariate and multivariate analyses were conducted, and maps were generated. RESULTS Of the 380,690 PCPs, > 44% were colocated with a behavioral health provider. PCPs in urban settings were significantly more likely to be colocated than rural providers (46% vs. 26%). Family medicine and general practitioners were least likely to be colocated. Only 12% of PCPs who were the sole PCP at an address were colocated compared with 48% at medium-size practices (11-25 PCPs). DISCUSSION Although colocation is modestly expanding in the United States, it is most often occurring in large urban health centers. Efforts to expand integrated behavioral health care should focus on rural and smaller practices, which may require greater assistance achieving integration. Increased colocation can improve access to behavioral health care for rural, underserved populations. This work provides a baseline to assist policymakers and practices reach behavioral health integration. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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定位托管：使用国家提供者识别的数据评估初级保健和行为健康托管。

引言证据支持综合行为保健改善了患者的预后。托管是整合的关键要素，在这种托管中，健康和行为健康提供者在相同的物理空间中工作，但是全国托管的比率尚不清楚。我们确定了全国代管率，并分析了初级保健提供者（PCP）类型，医疗机构规模，农村/城市环境，卫生与公共服务区域以及州的差异。方法数据来自医疗保险和医疗补助服务中心的2018年国家计划和医疗服务提供方枚举系统数据集。PCP的实践地址（家庭医学，全科医生，内科医学，儿科和妇产科医生），社会工作者和心理学家均已地理编码为纬度和经度坐标。计算距离；那些<0。相距01英里被认为是同一地点。进行了双变量和多变量分析，并生成了图。结果在380,690名PCP中，有44％与行为健康服务提供者并置。与农村医疗服务提供者相比，城市环境中的PCP安置的可能性更高（46％比26％）。家庭医学和全科医生最不可能同时居住。在某个地址是唯一PCP的PCP只有12％处于同一位置，而在中等规模的实践中（11-25 PCP）只有48％。讨论尽管在美国托管的规模正在适度扩大，但它最常见于大型城市医疗中心。扩大综合行为保健的努力应集中在农村和较小的实践上，这可能需要更多的援助才能实现融合。代管的增加可以改善服务不足的农村人口获得行为保健的机会。这项工作提供了基线，以帮助决策者和实践达到行为健康整合。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。