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Measuring the integration of primary care and behavioral health services

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.

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Posted in: Journal Article Abstracts on 03/09/2019 | Link to this post on IFP |
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