Integrating Psychosocial Care into Orthopedic Settings: A Qualitative Study of Provider Perspectives
Introduction: Approximately 50% of persons with orthopedic injuries experience psychosocial distress (e.g., depression, anxiety), which can predict chronic pain and disability. Offering psychosocial services in orthopedic settings can promote patient recovery. This study explores health care profess...
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| Format: | Article |
| Language: | English |
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Ubiquity Press
2023-12-01
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| Series: | International Journal of Integrated Care |
| Subjects: | |
| Online Access: | https://account.ijic.org/index.php/up-j-ijic/article/view/7579 |
| _version_ | 1827380319571935232 |
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| author | Mira Reichman Ellie A Briskin Brooke A. Duarte Ana-Maria Vranceanu Victoria A Grunberg |
| author_facet | Mira Reichman Ellie A Briskin Brooke A. Duarte Ana-Maria Vranceanu Victoria A Grunberg |
| author_sort | Mira Reichman |
| collection | DOAJ |
| description | Introduction: Approximately 50% of persons with orthopedic injuries experience psychosocial distress (e.g., depression, anxiety), which can predict chronic pain and disability. Offering psychosocial services in orthopedic settings can promote patient recovery. This study explores health care professionals’ perceptions of and recommendations regarding integrated psychosocial care for orthopedic settings. Methods: We conducted 18 semi-structured focus groups with 79 orthopedic health care professionals (e.g., surgeons, residents, nurses) across three Level I Trauma Centers. This secondary data analysis used the evidence-based Rainbow Model of Integrated Care framework to structure hybrid inductive-deductive qualitative data analysis. Results: Orthopedic health care professionals identified potential benefits to psychosocial service integration across all dimensions of integration (i.e., clinical, professional, organizational, system, functional, and normative). These benefits included increased patient satisfaction with care, decreased burden on medical providers to manage patient distress, and decreased healthcare utilization costs. They also identified barriers (e.g., fast-paced clinic flow, mental health stigma) and offered recommendations to address barriers across dimensions of integration. Conclusion: Integrated psychosocial care for orthopedic trauma patients has the potential to improve patient recovery and long-term physical and mental health outcomes. This work identifies strategies to inform the development and implementation of initiatives to integrate psychosocial services within orthopedic settings. |
| first_indexed | 2024-03-08T13:32:03Z |
| format | Article |
| id | doaj.art-0412d11266c3435ba8d627b933118dd8 |
| institution | Directory Open Access Journal |
| issn | 1568-4156 |
| language | English |
| last_indexed | 2024-03-08T13:32:03Z |
| publishDate | 2023-12-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj.art-0412d11266c3435ba8d627b933118dd82024-01-17T08:03:25ZengUbiquity PressInternational Journal of Integrated Care1568-41562023-12-0123151510.5334/ijic.75791126Integrating Psychosocial Care into Orthopedic Settings: A Qualitative Study of Provider PerspectivesMira Reichman0https://orcid.org/0000-0002-4338-6674Ellie A Briskin1Brooke A. Duarte2https://orcid.org/0000-0002-8732-1768Ana-Maria Vranceanu3https://orcid.org/0000-0003-3994-6488Victoria A Grunberg4https://orcid.org/0000-0003-3229-5504University of Washington, Department of Psychology, Seattle, WACenter for Health Outcomes and Interdisciplinary Research, Department of Psychiatry, Massachusetts General Hospital, Boston, MassachusettsCenter for Health Outcomes and Interdisciplinary Research, Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts; Suffolk University, Department of Psychology, Boston, MassachusettsCenter for Health Outcomes and Interdisciplinary Research, Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts; Harvard Medical School, Boston, MassachusettsCenter for Health Outcomes and Interdisciplinary Research, Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts; Division of Newborn Medicine, MassGeneral for Children, Boston, MassachusettsIntroduction: Approximately 50% of persons with orthopedic injuries experience psychosocial distress (e.g., depression, anxiety), which can predict chronic pain and disability. Offering psychosocial services in orthopedic settings can promote patient recovery. This study explores health care professionals’ perceptions of and recommendations regarding integrated psychosocial care for orthopedic settings. Methods: We conducted 18 semi-structured focus groups with 79 orthopedic health care professionals (e.g., surgeons, residents, nurses) across three Level I Trauma Centers. This secondary data analysis used the evidence-based Rainbow Model of Integrated Care framework to structure hybrid inductive-deductive qualitative data analysis. Results: Orthopedic health care professionals identified potential benefits to psychosocial service integration across all dimensions of integration (i.e., clinical, professional, organizational, system, functional, and normative). These benefits included increased patient satisfaction with care, decreased burden on medical providers to manage patient distress, and decreased healthcare utilization costs. They also identified barriers (e.g., fast-paced clinic flow, mental health stigma) and offered recommendations to address barriers across dimensions of integration. Conclusion: Integrated psychosocial care for orthopedic trauma patients has the potential to improve patient recovery and long-term physical and mental health outcomes. This work identifies strategies to inform the development and implementation of initiatives to integrate psychosocial services within orthopedic settings.https://account.ijic.org/index.php/up-j-ijic/article/view/7579orthopedic traumaintegrated carepsychosocial servicespatient satisfaction |
| spellingShingle | Mira Reichman Ellie A Briskin Brooke A. Duarte Ana-Maria Vranceanu Victoria A Grunberg Integrating Psychosocial Care into Orthopedic Settings: A Qualitative Study of Provider Perspectives International Journal of Integrated Care orthopedic trauma integrated care psychosocial services patient satisfaction |
| title | Integrating Psychosocial Care into Orthopedic Settings: A Qualitative Study of Provider Perspectives |
| title_full | Integrating Psychosocial Care into Orthopedic Settings: A Qualitative Study of Provider Perspectives |
| title_fullStr | Integrating Psychosocial Care into Orthopedic Settings: A Qualitative Study of Provider Perspectives |
| title_full_unstemmed | Integrating Psychosocial Care into Orthopedic Settings: A Qualitative Study of Provider Perspectives |
| title_short | Integrating Psychosocial Care into Orthopedic Settings: A Qualitative Study of Provider Perspectives |
| title_sort | integrating psychosocial care into orthopedic settings a qualitative study of provider perspectives |
| topic | orthopedic trauma integrated care psychosocial services patient satisfaction |
| url | https://account.ijic.org/index.php/up-j-ijic/article/view/7579 |
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