Abstract:
:The aim of this study was to identify factors contributing to clinician time spent in non-reimbursable activity on an inpatient pediatric consultation-liaison (C-L) service. A retrospective study was conducted using inpatient C-L service data on 1,246 consecutive referrals. For this patient population, the strongest predictor of level of non-reimbursable clinical activity was illness chronicity and the number of contacts with C-L service clinicians during their hospital stay. Patients with acute life-threatening illnesses required the highest mean amount of non-reimbursable service activity. On average, 28 % of total clinician time in completing a hospital consultation was spent in non-reimbursable activity. Effective C-L services require a proportion of time spent in non-reimbursable clinical activity, such as liaison and coordinating care with other providers. Identifying referral and systemic factors contributing to non-reimbursable activity can provide insight into budgeting/negotiating for institutional support for essential clinical and non-clinical functions in providing competent quality patient care.
journal_name
J Clin Psychol Med Settingsjournal_title
Journal of clinical psychology in medical settingsauthors
Bierenbaum ML,Katsikas S,Furr A,Carter BDdoi
10.1007/s10880-013-9371-2subject
Has Abstractpub_date
2013-12-01 00:00:00pages
464-72issue
4eissn
1068-9583issn
1573-3572journal_volume
20pub_type
杂志文章abstract::Urinary Incontinence (UI) affects 200 million people worldwide with annual direct costs in the US alone estimated at $16.3 billion. Those with UI have reported a decrease in general quality of life with symptoms of depression, anxiety, low self-esteem, poor body image, and social stigmatization. The purpose of this st...
journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
doi:10.1007/s10880-013-9361-4
更新日期:2013-09-01 00:00:00
abstract::Performance data were collected on the Kaufman Brief Intelligence Test (K-BIT) from a total of 196 individuals from six diverse populations. College students did best, followed closely by closed head-injured adults and their controls; the order of performance then was learning-disabled children, psychiatric patients, ...
journal_title:Journal of clinical psychology in medical settings
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doi:10.1007/BF01996133
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abstract::Posttraumatic Stress Disorder (PTSD) is common among primary care patients and is associated with significant functional impairment, physical health concerns, and mental health comorbidities. Significant barriers to receiving adequate treatment often exist for primary care patients with PTSD. Mental health professiona...
journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章,评审
doi:10.1007/s10880-011-9237-4
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abstract::We examined the relationships between promotion and prevention focus and caloric consumption in reaction to a dietary lapse scenario among weight loss maintainers. Participants were 65 adult females who had attained and maintained a weight loss of 10 % or more for at least 1 month. After engaging in a dietary lapse in...
journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
doi:10.1007/s10880-015-9421-z
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abstract::The growth of the Primary Care Behavioral Health model (PCBH) nationally has highlighted and created a workforce development challenge given that most mental health professionals are not trained for primary care specialization. This work provides a review of the current efforts to retrain mental health professionals t...
journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
doi:10.1007/s10880-017-9491-1
更新日期:2018-06-01 00:00:00
abstract::As part of this special issue on psychology in primary care settings, we describe the Department of Veterans Affairs' (VA's) new approach to education for practice in the primary care setting and we concurrently address some general issues related to the education of clinical psychologists for practice in this setting...
journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
doi:10.1007/BF01988630
更新日期:1995-03-01 00:00:00
abstract::Rapidly occurring changes in the healthcare arena mean time is of the essence for psychology to formalize a strategic plan for training in primary care settings. The current article articulates factors affecting models of integrated care in Academic Health Centers (AHCs) and describes ways to identify and utilize reso...
journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
doi:10.1007/s10880-011-9291-y
更新日期:2012-03-01 00:00:00
abstract::Adverse childhood experiences (ACEs) are known to contribute to long-term harmful effects on mental health in young adults. Research has demonstrated that having a chronic medical condition (CMC) can also be conceptualized as being a potentially traumatic experience, and that young adults with a CMC are also at risk f...
journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
doi:10.1007/s10880-019-09639-x
更新日期:2020-09-01 00:00:00
abstract::The purpose of this study was to assess the effect of tailored cognitive behavioral therapy (CBT) on depression and anxiety symptoms present in Mexican terminal cancer patients. A non-concurrent multiple baseline design was used across individuals. Nine patients participated in the study, each receiving four to six th...
journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
doi:10.1007/s10880-019-09620-8
更新日期:2020-03-01 00:00:00
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journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
doi:10.1007/s10880-016-9465-8
更新日期:2017-12-01 00:00:00
abstract::The relationship between psychological distress and intrapersonal, family, and socioecological variables was examined in 77 caregivers of adults actively receiving cancer treatment. Results indicated that a sizable minority (29%) of caregivers was experiencing clinically significant psychological distress. Furthermore...
journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
doi:10.1007/BF01989624
更新日期:1994-09-01 00:00:00
abstract::The Primary Care Behavioral Health (PCBH) model of service delivery is being used increasingly as an effective way to integrate behavioral health services into primary care. Despite its growing popularity, scientifically robust research on the model is lacking. In this article, we provide a qualitative review of publi...
journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
doi:10.1007/s10880-017-9512-0
更新日期:2018-06-01 00:00:00
abstract::Recent literature, public policy, and funding opportunities call attention to the need for better increased integration of health and mental health care services in primary care settings so as to best meet the needs of children and families. There are many benefits to such integration, but pediatric primary care provi...
journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章,评审
doi:10.1007/s10880-017-9522-y
更新日期:2018-03-01 00:00:00
abstract::An acute leukemia diagnosis can be an extremely stressful experience for most patients. Posttraumatic growth (PTG) is positive psychological change experienced following a struggle with highly challenging life circumstances. The current study is the first longitudinal investigation of predictors of PTG and distress in...
journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
doi:10.1007/s10880-012-9304-5
更新日期:2013-03-01 00:00:00
abstract::The present study investigated whether differing diagnostic criteria for alcoholism used by mental health professionals versus hepatologists lead to different outcomes in predicting liver transplant survival as determined by the medical record and without a priori judgments. This was in contrast to past studies, parti...
journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
doi:10.1007/s10880-010-9201-8
更新日期:2010-09-01 00:00:00
abstract::Research demonstrates that severe forms of grief and grief-related pathology exist in the general population. Less attention, however, has been paid to the grief of parents following the death of a young, dependent child. In this review, we summarize a search of Pubmed, PsycINFO and Web of Science from 1995 to 2017, u...
journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章,评审
doi:10.1007/s10880-018-9590-7
更新日期:2019-09-01 00:00:00
abstract::Chronic gastrointestinal disorders are disruptive to patients physically and psychologically, and benefit from multidisciplinary care, including targeted psychological interventions. This case study details a case of a 42-year-old Caucasian female with idiopathic eructation, who was identified as having psychological ...
journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
doi:10.1007/s10880-020-09697-6
更新日期:2020-09-01 00:00:00
abstract::This study explored the relationship between injury severity and depressive symptoms for treatment-seeking individuals with traumatic brain injury (TBI). The Mayo Classification System was used to classify TBI severity in 72 participants who completed the Patient Health Questionnaire at admission and at dismissal from...
journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
doi:10.1007/s10880-019-09602-w
更新日期:2019-12-01 00:00:00
abstract::Romantic attachment rejection (RAR) is a highly prevalent phenomenon among young adults. Rejection by a romantic attachment figure can be a painful and incapacitating experience with lasting negative mental health sequelae, yet the underlying neurobiology of RAR is not well characterized. We systematically reviewed fu...
journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
doi:10.1007/s10880-020-09757-x
更新日期:2021-01-03 00:00:00
abstract::Low rates of adherence to medical treatments and adverse emotional states are a widespread problem in advanced chronic kidney disease (ACKD). Motivational interviewing using the stages of change model is an effective combination in promoting behavior modifications. The objective of the present study was to determine t...
journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
doi:10.1007/s10880-013-9383-y
更新日期:2014-03-01 00:00:00
abstract::Individuals living with HIV show moderate decision-making deficits, though no prior studies have evaluated the ability to make optimal health-related decisions across the HIV healthcare continuum. Forty-three HIV+ individuals with HIV-associated neurocognitive disorders (HAND+), 50 HIV+ individuals without HAND (HAND-...
journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
doi:10.1007/s10880-016-9455-x
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abstract::One of the reasons integrated care has not become a dominant service delivery model is the unmet training agenda. This article argues that the typical mental health professional is not trained to adequately address the challenges of integrated care. To insure competency both a macro and clinical training agenda are ne...
journal_title:Journal of clinical psychology in medical settings
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doi:10.1007/s10880-008-9138-3
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journal_title:Journal of clinical psychology in medical settings
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doi:10.1007/s10880-019-09686-4
更新日期:2020-12-01 00:00:00
abstract::Treatment-related fatigue significantly limits quality of life among chronic myeloid leukemia (CML) patients receiving tyrosine kinase inhibitors (TKIs), yet no interventions to reduce this symptom have been studied. We examined preliminary feasibility and efficacy of cognitive behavioral therapy for TKI treatment-rel...
journal_title:Journal of clinical psychology in medical settings
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doi:10.1007/s10880-019-09607-5
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abstract::Unfavorable neurological outcome in children after cardiopulmonary resuscitation in infancy is frequent. However, few studies have investigated the development of these patients using comprehensive developmental tests and the feasibility of the Bayley Scales of Infant Development, 3rd Edition (BSID-III) has not been r...
journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
doi:10.1007/s10880-019-09613-7
更新日期:2019-12-01 00:00:00
abstract::We examined the relationship between two malleable risk factors, depressive symptoms and fear of hypoglycemia, in children and adolescents with Type 1 diabetes and their relationship to two important outcomes, adherence behaviors and metabolic control. To assess this relationship, we used a multidimensional measure of...
journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
doi:10.1007/s10880-019-09676-6
更新日期:2020-06-01 00:00:00
abstract::The primary goal of this retrospective study was to assess parental report of current sleep disorders in school-aged attention deficit disorder (ADD) children, as well as recalled sleep problems from when the children were infants (0-12 months) and toddlers (1-3 years). Results of a sleep questionnaire completed by mo...
journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
doi:10.1007/BF01993909
更新日期:1996-09-01 00:00:00
abstract::Parent management training is an evidence-based treatment for disruptive behavior. However, the number of treatment sessions can be high, contributing to high attrition rates. The purpose of this study was to examine post-treatment, 6-month, and 1-year treatment outcomes of the Brief Behavioral Intervention. One hundr...
journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
doi:10.1007/s10880-013-9359-y
更新日期:2013-09-01 00:00:00
abstract::Quality Improvement (QI) is a health care interprofessional team activity wherein psychology as a field and individual psychologists in health care settings can and should adopt a more robust presence. The current article makes the argument for why psychology's participation in QI is good for health care, is good for ...
journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章,评审
doi:10.1007/s10880-018-9542-2
更新日期:2018-09-01 00:00:00
abstract::This is the first controlled study regarding personality and psychopathology in adults with Noonan syndrome (NS). Anxiety, depression, alexithymia and symptoms of Attention Deficit-Hyperactivity Disorder and Autism Spectrum Disorder, have been previously described in NS. More information regarding personality and psyc...
journal_title:Journal of clinical psychology in medical settings
pub_type: 杂志文章
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