Modelos de atención pediátrica integrada: Una revisión sistemática

Los trastornos psiquiátricos se diagnostican con mayor frecuencia en el ámbito de la atención primaria pediátrica. A pesar del aumento en el diagnóstico dentro de la atención primaria, sólo una minoría de los pacientes recibe atención psiquiátrica o especializada adicional. El modelo de tratamiento de atención integral/colaborativa fue diseñado para mejorar el acceso a la atención primaria.

Burkhart K, Asogwa K, Muzaffar N, Gabriel M. Pediatric Integrated Care Models: A Systematic Review. Clin Pediatr (Phila). 2019 Nov 24:9922819890004. doi: 10.1177/0009922819890004. [Epub ahead of print]. Disponible en: https://journals.sagepub.com/doi/full/10.1177/0009922819890004?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmed

The purpose of this review is to identify randomized controlled trials and quasi-experimental studies that have investigated whether increased access improves treatment engagement, satisfaction, and improved mental health outcomes. Six studies met inclusion criteria. Studies reviewed indicated increased access to behavioral health treatment through use of the integrated/collaborative care model and improved mental health outcomes. Recommendations for screening and treatment are provided. Limitations of the reviewed studies include lack of generalizability to urban populations, minority youth, and youth younger than 4 years of age. Practice recommendations to address these limitations are identified.