Integrated Care- Weber/Lewis Flashcards
Define integrated care
A team-based health care delivery system that uses a biophyschosocial-spiritual perspective that is informed by systems theory.
Collects biopsychosocial information from relevant systems to effectively assess and treat
What are the 3 components of integrative care
- Biopsychosocial Spiritual Model
- Collaboration
- Three World View
What are the 4 reasons for using integrative care?
- Compromised physical health is associated with behavioral health problems
- Compromised behavioral health may lead to physical health problems
- Stigma of behavioral health services
- Compartmentalized understanding of health
What are the stages of chronic pain?
- Injury
- Initial distress
- Exacerbation of psychological & social problems
- Acceptance of sick role
What factors underly the link between heart disease, anxiety and depression?
- Lack of self care
- Sleep problems
- Obesity
- Blood vessel changes
- Stress
How does anxiety affect your chance of dying from any cause?
Anxiety doubles risk of dying from any cause
How does depression + anxiety affect chances of dying from any cause?
Depression + anxiety tripled risk of dying from any cause
What is biopsychosocial Spiritual Model?
- Fueled by unmet patient needs
- All problems are at once biological, psychological, and social
- Uses system model and encourages collaboration between health professionals
What are some barriers to effective collaboration?
- Disciplinary centrism
- Differences between disciplines
- Lack of effective collaboration- common goals and philosophies not clearly identified
- Physicians are hard to get to!!!
What are the three worlds of integrated care?
- Clinical
- Operational
- Financial
Potential collaborators include:
A. Pastor B. Psychiatrist C. Nurse Practitioner D. Clinic Administrator E. All of the above
E
One barrier to effective collaboration is:
A. Being in the same building
B. Viewing you own discipline as superior
C. Getting to know practitioners in other disciplines
B
Integrated or collaborative care models:
A. Incorporate practitioners from different healing disciplines
B. Are challenging and often confusing for the patient
C. Significantly increase the cost of health care
A
What is the goal of project ECHO at the New Mexico Medical School?
Treat complex and chronic diseases in rural and underserved areas by moving knowledge- not patients
- use tele-education model
- Model expands access to specialized care
