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Using Multivariate Statistics

Basics of qualitative research: Grounded theory procedures and techniques

おさえておきたい 糖尿病の海外文献 ●文献●Depression and advanced complications of diabetes: a prospective cohort study. うつと糖尿病進行合併症：前向きコホート研究

Pediatric primary care is a key setting that all young children are expected to visit routinely in their early development. As such, a young child’s visits to her or his pediatrician present major opportunities to detect any developmental challenges the child is experiencing and take appropriate steps to intervene. The integration of behavioral health services into primary care can greatly increase the likelihood that at-risk children are identified and treated as early as possible, particularly in early childhood when primary care is the central universal access point and because primary care is a non-stigmatizing environment (American Academy of Child and Adolescent Psychiatry, 2009; Substance Abuse and Mental Health Services Administration, 2013).

Behavioral Health Integration in Primary Care

The Biopsychosocial Approach: Past, Present, Future

Chronic Illness and Physicians’ Referrals to Psychologists: A Pilot Study Nicole O’Barto Trainer The Chronic Care Model (CCM) is an evidenced based healthcare management system that encompasses a multidimensional approach to healthcare for the treatment of patients with chronic conditions. A component of this model is collaborative care. The tenets of the biopsychosocial model are central to collaborative care and evidenced-based health care interventions. These interventions provide integrated, patient-centered healthcare delivered by a multidisciplinary healthcare team. Recent research has indicated that psychologists can play a vital role on such teams. The purpose of this exploratory study was to subject the Biopsychosocial Endorsement Questionnaire (BEQ) to preliminary statistical analysis and to test its effectiveness for predicting physician referrals to psychologists. Principal axis factoring was used to determine if subscales from the BEQ could be identified as predictor variables for use in subsequent analyses. Hierarchical regression analysis was used to determine the amount of variance in physician referrals to psychologists that could be accounted for by the BEQ subscales physician-patient relationship and collaborative care. Results of the analysis are that 18% of the variance in physician referrals could be accounted for by these two subscales, with the physicianpatient relationship subscale being the strongest predictor of physician referrals. This study was successful at providing a preliminary answer to the question of whether or not physicians might endorse the biopsychosocial conceptual framework. It also provides support for further refinement of the Biopsychosocial Endorsement Questionnaire (BEQ) and the inclusion of biopsychosocial principles in future research that seeks to explain the complex relationships of factors impacting physician-initiated collaborative behavior. Although an a priori analysis deemed the sample size appropriate for the primary regression analysis, the study may have been underpowered and unable to detect specific, independent contributions of variables.

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Nicole O'Barto-Trainer

Papers

Chronic Illness and Physicians' Referrals to Psychologists: A Pilot Study