Measuring the integration of primary care and behavioral health services

Daniel J. Mullin, Lee Hargreaves, Andrea Auxier, Stephanie A. Brennhofer, Juvena R. Hitt, Rodger Kessler, Benjamin Littenberg, Charles Macchi, Matthew Martin, Gail Rose, Felicia Trembath, Constance van Eeghen

    Research output: Contribution to journalArticle

    Abstract

    Objective: To perform a factor analysis of the Practice Integration Profile (PIP), a 30-item practice-level measure of primary care and behavioral health integration derived from the Agency for Healthcare Research and Quality's Lexicon for Behavioral Health and Primary Care Integration. Data Sources: The PIP was completed by 735 individuals, representing 357 practices across the United States. Study Design: The study design was a cross-sectional survey. An exploratory factor analysis and assessment of internal consistency reliability via Cronbach's alpha were performed. Data Collection Methods: Participant responses were collected using REDCap, a secure, web-based data capture tool. Principal Findings: Five of the PIP's six domains had factor loadings for most items related to each factor representing the PIP of 0.50 or greater. However, one factor had items from two PIP domains that had loadings >0.50. A five-factor model with redistributed items resulted in improved factor loadings for all domains along with greater internal consistency reliability (>0.80). Conclusions: Five of the PIP's six domains demonstrated excellent internal consistency for measures of health care resources. Although minor improvements to strengthen the PIP are possible, it is a valid and reliable measure of the integration of primary care and behavioral health.

    Original languageEnglish (US)
    JournalHealth Services Research
    DOIs
    StatePublished - Jan 1 2019

    Fingerprint

    Health Services
    Primary Health Care
    Statistical Factor Analysis
    Health Resources
    Information Storage and Retrieval
    Health Services Research
    Cross-Sectional Studies
    Delivery of Health Care

    Keywords

    • collaborative care
    • integrated behavioral health
    • integrated primary care
    • primary care behavioral health
    • psychometrics

    ASJC Scopus subject areas

    • Health Policy

    Cite this

    Mullin, D. J., Hargreaves, L., Auxier, A., Brennhofer, S. A., Hitt, J. R., Kessler, R., ... van Eeghen, C. (2019). Measuring the integration of primary care and behavioral health services. Health Services Research. https://doi.org/10.1111/1475-6773.13117

    Measuring the integration of primary care and behavioral health services. / Mullin, Daniel J.; Hargreaves, Lee; Auxier, Andrea; Brennhofer, Stephanie A.; Hitt, Juvena R.; Kessler, Rodger; Littenberg, Benjamin; Macchi, Charles; Martin, Matthew; Rose, Gail; Trembath, Felicia; van Eeghen, Constance.

    In: Health Services Research, 01.01.2019.

    Research output: Contribution to journalArticle

    Mullin, DJ, Hargreaves, L, Auxier, A, Brennhofer, SA, Hitt, JR, Kessler, R, Littenberg, B, Macchi, C, Martin, M, Rose, G, Trembath, F & van Eeghen, C 2019, 'Measuring the integration of primary care and behavioral health services' Health Services Research. https://doi.org/10.1111/1475-6773.13117
    Mullin, Daniel J. ; Hargreaves, Lee ; Auxier, Andrea ; Brennhofer, Stephanie A. ; Hitt, Juvena R. ; Kessler, Rodger ; Littenberg, Benjamin ; Macchi, Charles ; Martin, Matthew ; Rose, Gail ; Trembath, Felicia ; van Eeghen, Constance. / Measuring the integration of primary care and behavioral health services. In: Health Services Research. 2019.
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