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Evaluating the process of mental health and primary care integration: The Vermont Integration Profile

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Family Medicine and Community Health

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Vermont Integration Profile, integration, implementation

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      Abstract

      Objective: We developed and tested a measure to identify level of primary care behavioral health integration. We produced a thirty item, six domain electronically delivered measure, and a total score.

      Methods: We generated a convenience sample of 137 survey responses, including 104 primary care practices. We provided each practice a summary of their own data, and generated a data base of all submissions. We calculated descriptive statistics.

      Results: The mean total score was 56/100. The Vermont Integration Profile (VIP) discriminated between types of practices in the direction hypothesized. Initial test retest reliability was good.

      Conclusion: The VIP demonstrated good feasibility and construct validity, initial reliability, low provider demand and good discrimination between types of practices.

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      Most cited references 18

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      The triple aim: care, health, and cost

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        Teaching quality improvement: the devil is in the details.

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          Integrated care: a comprehensive bibliometric analysis and literature review

          Introduction Integrated care could not only fix up fragmented health care but also improve the continuity of care and the quality of life. Despite the volume and variety of publications, little is known about how ‘integrated care’ has developed. There is a need for a systematic bibliometric analysis on studying the important features of the integrated care literature. Aim To investigate the growth pattern, core journals and jurisdictions and identify the key research domains of integrated care. Methods We searched Medline/PubMed using the search strategy ‘(delivery of health care, integrated [MeSH Terms]) OR integrated care [Title/Abstract]’ without time and language limits. Second, we extracted the publishing year, journals, jurisdictions and keywords of the retrieved articles. Finally, descriptive statistical analysis by the Bibliographic Item Co-occurrence Matrix Builder and hierarchical clustering by SPSS were used. Results As many as 9090 articles were retrieved. Results included: (1) the cumulative numbers of the publications on integrated care rose perpendicularly after 1993; (2) all documents were recorded by 1646 kinds of journals. There were 28 core journals; (3) the USA is the predominant publishing country; and (4) there are six key domains including: the definition/models of integrated care, interdisciplinary patient care team, disease management for chronically ill patients, types of health care organizations and policy, information system integration and legislation/jurisprudence. Discussion and conclusion Integrated care literature has been most evident in developed countries. International Journal of Integrated Care is highly recommended in this research area. The bibliometric analysis and identification of publication hotspots provides researchers and practitioners with core target journals, as well as an overview of the field for further research in integrated care.
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            Author and article information

            Affiliations
            1University of Vermont - Family Medicine, 89 Beaumont Ave Given Courtyard 4th Floor, Burlington, Vermont 05405, USA
            Author notes
            CORRESPONDING AUTHOR: Rodger Kessler, Associate Professor, University of Vermont - Family Medicine, 89 Beaumont Ave Given Courtyard 4th Floor, Burlington, Vermont 05405, USA, E-mail: rodger.kessler@ 123456med.uvm.edu
            Journal
            FMCH
            Family Medicine and Community Health
            FMCH
            Compuscript (Ireland )
            2009-8774
            2305-6983
            March 2015
            April 2015
            : 3
            : 1
            : 63-65
            fmch20150112
            10.15212/FMCH.2015.0112
            Copyright © 2015 Family Medicine and Community Health

            This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

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            Self URI (journal page): http://fmch-journal.org/
            Categories
            Section Two: Population Health Management for General Practitioners
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