Introduction: Integrating behavioral health providers into pediatric primary care to provide behavioral health (BH) services is both effective and efficient; however, the impact of pediatric integrated services on the operational and financial outcomes of primary care provider (PCP) visits has not been thoroughly investigated. The present study examined whether length of practice integration predicts the relationship between BH content addressed in a PCP visit, visit length, and revenue generation. Method: A total of 1,209 pediatric encounters with 25 PCPs across 7 primary care offices in a predominantly rural health system were abstracted for the presence or absence of BH content, visit length, duration of integration, and revenue. χ2 analyses and the generalized linear model framework were used to address the study objectives. Results: Integration was associated with more PCP visits with a BH topic discussed at 6-11 months of integration but not at 14-24 months. Visits with a BH topic were longer than medical-only visits and shorter when a practice was integrated for 6-11 months but not at 14-24 months of integration. Public insurance and integration were associated with lower revenue generation per minute. Visit content was not associated with PCP revenue. Discussion: Results suggest a relationship between integration and the operational and financial outcomes of PCP visits. This study shows that initial efficiencies or improvements (e.g., time, cost, content) associated with integrating BH may be lost over time. Future studies should evaluate sustainability in relation to program impact. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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儿科综合心理与24个月内初级保健就诊时间，收入，内容之间的关系。

简介：将行为健康提供者整合到儿科初级保健中以提供行为健康（BH）服务既有效又高效；但是，尚未全面调查儿科综合服务对初级保健提供者就诊的业务和财务结果的影响。本研究检查了练习时间的长短是否可以预测PCP访问中所涉及的BH内容，访问时间和创收之间的关系。方法：针对主要农村卫生系统中7个基层医疗机构的25个PCP，总共进行了1,209次儿科会诊，以了解是否存在BH含量，就诊时间，住院时间和收入等方面的信息。χ2分析和广义线性模型框架用于解决研究目标。结果：整合与更多的PCP访问有关，在整合的6-11个月而不是14-24个月讨论了BH主题。与BH主题相关的访问比纯医疗访问的访问时间更长，而当一项实践整合了6-11个月而不是整合14-24个月时，访问的时间较短。公共保险和整合与每分钟较低的收入产生相关。访问内容与PCP收入无关。讨论：结果表明，整合与PCP访问的运营和财务结果之间存在关系。这项研究表明，随着时间的流逝，与集成BH相关的初始效率或改进（例如，时间，成本，内容）可能会丢失。未来的研究应评估与计划影响相关的可持续性。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。