Introduction: Patient engagement in research can improve a health system's responsiveness to patient need, but patient experience with integrated care is not well understood. This qualitative study explores patient experience and provider perceptions of patient experience with the Behavioral Health Integration and Complex Care Initiative (BHICCI), which is a large-scale system redesign that delivers integrated care to persons with complex needs. Methods: We conducted 8 patient focus groups (n = 54 patients) and n = 32 interviews with BHICCI providers at five community health settings participating in the BHICCI during which patients and providers described how patient experience with care had changed under the initiative. Results: Patient experience and provider perception of patient experience aligned under 2 themes: (a) care coordination is essential for positive patient experience; and (b) the BHICCI strengthened patient provider relationships. Perspectives diverged under theme (c) patient experience with programmatic "growing pains." Discussion: This study highlights the importance of seeking outpatient feedback and incorporating these experiences into the redesign of integrated care systems. Formal mechanisms, such as patient advisory boards, are needed to ensure that health care quality improvement initiatives are patient centered. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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大规模的综合行为健康和初级保健计划的患者体验：定性研究。

简介：患者参与研究可以改善卫生系统对患者需求的反应能力，但是对患者在综合护理方面的经验还知之甚少。这项定性研究通过行为健康整合和复杂护理计划（BHICCI）探索了患者的体验以及提供者对患者体验的理解，这是一项大规模的系统重新设计，旨在为有复杂需求的人提供集成护理。方法：我们进行了8个患者焦点小组（n = 54例患者），并在参与BHICCI的五个社区卫生场所对BHICCI提供者进行了32次访谈，在此期间，患者和提供者描述了该倡议下患者的护理体验如何变化。结果：患者体验和提供者对患者体验的感知在两个主题下保持一致：（a）护理协调对于积极的患者体验至关重要；（b）BHICCI加强了患者与提供者的关系。在主题（c）患者对程序性“成长痛苦”的经历下，观点分歧很大。讨论：这项研究强调了寻求门诊反馈并将这些经验纳入重新设计综合护理系统的重要性。需要正式的机制，例如患者咨询委员会，以确保以患者为中心的医疗保健质量改进计划。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。这项研究强调了寻求门诊反馈并将这些经验纳入重新设计综合护理系统的重要性。需要正式的机制，例如患者咨询委员会，以确保以患者为中心的医疗保健质量改进计划。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。这项研究强调了寻求门诊反馈并将这些经验纳入重新设计综合护理系统的重要性。需要正式的机制，例如患者咨询委员会，以确保以患者为中心的医疗保健质量改进计划。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。