scholarly journals Co-Location of Behavioral Health and Primary Care Services: Community Care of North Carolina and the Center of Excellence for Integrated Care

2011 ◽  
Vol 72 (1) ◽  
pp. 50-53
Author(s):  
Flo Stein ◽  
Michael Lancaster ◽  
Susan Yaggy ◽  
Regina Schaaf Dickens
Keyword(s):  
Primary Care ◽  
North Carolina ◽  
Behavioral Health ◽  
Integrated Care ◽  
Community Care ◽  
Center Of Excellence ◽  
Care Services ◽  
Primary Care Services

scholarly journals Reimbursement Rates for Primary Care Services: Evidence of Spillover Effects to Behavioral Health

2018 ◽  
Author(s):  
Johanna Catherine Maclean ◽  
Chandler McClellan ◽  
Michael Pesko ◽  
Daniel Polsky
Keyword(s):  
Primary Care ◽  
Behavioral Health ◽  
Spillover Effects ◽  
Care Services ◽  
Primary Care Services

scholarly journals Overcoming Barriers to Integrating Behavioral Health and Primary Care Services

2016 ◽  
Vol 7 (4) ◽  
pp. 242-248 ◽  
Author(s):  
Kyle L. Grazier ◽  
Mary L. Smiley ◽  
Kirsten S. Bondalapati
Keyword(s):  
Primary Care ◽  
Behavioral Health ◽  
Care Services ◽  
Primary Care Services

scholarly journals Cost Analysis of the Use of Emergency Departments for Primary Care Services in Charlotte, North Carolina

2011 ◽  
Vol 72 (4) ◽  
pp. 265-271
Author(s):  
Andrew McWilliams ◽  
Hazel Tapp ◽  
Jolene Barker ◽  
Michael Dulin
Keyword(s):  
Primary Care ◽  
North Carolina ◽  
Cost Analysis ◽  
Emergency Departments ◽  
Care Services ◽  
Primary Care Services

scholarly journals Achieving integrated care through commissioning of primary care services in the English NHS: a qualitative analysis

BMJ Open ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. e027622 ◽  
Author(s):  
Imelda McDermott ◽  
Kath Checkland ◽  
Valerie Moran ◽  
Lynsey Warwick-Giles
Keyword(s):  
Primary Care ◽  
Integrated Care ◽  
Case Studies ◽  
Models Of Care ◽  
Telephone Surveys ◽  
Care Services ◽  
Primary Care Services ◽  
Combining Data ◽  
Care Systems ◽  
The Impact

ObjectivesSince April 2015, Clinical Commissioning Groups (CCGs) have taken on the responsibility to commission primary care services. The aim of this paper is to analyse how CCGs have responded to this new responsibility and to identify challenges and factors that facilitated or inhibited achievement of integrated care systems.DesignWe undertook an exploratory approach, combining data from interviews and national telephone surveys, with analysis of policy documents and case studies in four CCGs. Data were analysed using thematic content analysis.Setting/participantsWe reviewed 147 CCG application documents and conducted two national telephone surveys with CCGs (n=49 and n=21). We interviewed 6 senior policymakers and 42 CCG staff who were involved in primary care co-commissioning (general practitioners and managers). We observed 74 primary care commissioning committee meetings and their subgroups (approx. 111 hours).ResultsCCGs in our case studies focused their primary care commissioning activities on developing strategic plans, ‘new’ primary care initiatives, and dealing with legacy work. Many plans focused on incentivising and supporting practices to work together and provide a broad range of services. There was a clear focus on ensuring the sustainability of general practice. Our respondents expressed mixed views as to what new collaborative service models, such as the new models of care and sustainability and transformation partnerships (STPs), would mean for the future of primary care and the impact they could have on CCGs and their members.ConclusionsThere is a disconnect between locally based primary care and the wider system. One of the major challenges we identified is the lack of knowledge and expertise in the field of primary care at STP level. While primary care commissioning by CCGs seems to be supporting local collaborations between practices, there is some way to go before this is translated into broader integration initiatives across wider footprints.

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