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Dr. Ron O’Donnell presented a workshop “Key knowledge and skills for behavioral health workers” with discussant Dr. Bui Thi Xuan Mai, University of Labor and Social Relations. The focus of the workshop was on integrated behavioral health and the emerging Patient-Centered Medical Home (PCMH) model in the United States. Dr. O’Donnell was invited to the conference by Dr. Richard Rawson, Co-Director of the UCLA Integrated Substance Abuse Programs in the UCLA School of Medicine. Dr. Rawson established the SMAHSA contract to establish the Vietnam HIV-Addiction Technology Transfer Center. Dr. Rawson is a former speaker at one of the DBH Integrated Behavioral Health conferences and is a long-standing champion of the DBH program. During the conference Dr. O’Donnell was introduced to Robert Lubran, MS, MPA, Director of the SAMHSA Division of Pharmacologic Therapies, and Kevin Mulvey, Ph.D., the Substance Abuse Treatment Advisor to the President’s Emergency Plan for Aids Relief at the US Embassy in Vietnam.
In Vietnam, as in other Asian countries, physicians and to a lesser extent, nurses, provide medical treatment, primarily pharmacotherapy, as a first-line treatment for behavioral conditions. Response to the workshop was excellent, and led to follow-up meetings with leadership of Hanoi Medical University and the University of Labor and Social Affairs). Le Minh Giang, MD, PhD, from Hanoi Medical University arranged for a presentation by Dr. O’Donnell to faculty and students. Bui Thi Xuan Mai, Dean of Faculty of Social Work at the University of Labor and Social Affairs arranged for a presentation by Dr. O’Donnell to the faculty. These meetings led to a proposal to develop collaboration between each of these universities and the ASU College of Health Solutions. Hanoi Medical University is interested in developing education and training programs for physicians and public health graduates (BS and MS) in integrated behavioral health and the PCMH. The University of Labor and Social Affairs School of Social Work is interested in similar training and education. The leaders of both universities envision a coordinated plan to launch integrated behavioral health in Vietnam community health centers. They envision a model in which physicians serve as team leaders as in the PCMH model. Public health graduates will serve as health coaches to provide prevention and disease management services. Social workers will in turn supervise the public health students and provide behavioral interventions to more complex cases. Dr. O’Donnell is currently working on follow-up plans to return to Hanoi and continue these very positive initial discussions.
In July 2014 Dr. O’Donnell met with the leadership of the Chinese journal Family Medicine and Community Health (FMCH). Dr. O’Donnell gave a presentation on integrated behavioral health and the Patient-Centered Medical Home (PCMH) model of primary care. The journal FMCH is focused on promoting the PCMH model and integrated behavioral health in China. This is consistent with the Chinese government focus on the development of general practice in community health centers. As a result of this meeting Dr. O’Donnell accepted an invitation to join the Board of Editors of FMCH. Dr. O’Donnell is preparing an article for FMCH that will describe Western approaches to chronic disease management and integrated care and applications of this model to Chinese general practice.
In addition to the journal, the leadership of FMCH is an emerging advocacy group for enhancing general practice in China. In addition, they are interested in international collaboration to help shape emerging models of general practice in China. Therefore, FMCH has collaborated with the Zhejiang University School of Medicine, the Cross-Straights Medicine Exchange Association, The General Practice Department of Fudan University Shanghai Medical College, The Chinese General Practice Press, The Zhejiang, Medical Association, and the First Affiliated Hospital Of Zhejiang University to hold the 2014 West Lake International Conference of General PracticeOctober 21st – 24th, 2014 in Hangzhou. Dr. O’Donnell accepted an offer to become an Expert Member of the Conference Academic Committee and will present a workshop on integrated behavioral health and the PCMH model at the conference. Early plans are in the works for Dr. O’Donnell to assist in planning an International Conference on general practice, the PCMH model and integrated care in early 2015.
Dr. O’Donnell and Dr. Reiter had a productive visit in Beijing in August with visits to Beijing, Hangzhou and Guangzhou. First, Dr. O’Donnell and Dr. Reiter conducted a three-day training session on disease management for Type 2 diabetes to physician leaders from 8 community health centers from the Chaoyang Health District in Beijing. The focus of the training was on how to promote lifestyle behavior change in nutrition and physical activity using a group education treatment modality. This training was part of an ongoing training program sponsored by Chen Baojun of New Health Consultancy, a Beijing-based healthcare training company. Over the course of this training many physicians have already become champions of group education, a new treatment model and alternative to traditional pharmacotherapy only as a first-line treatment for diabetes.
After the training Chen Baojun of New Health Consultancy arranged for Dr. O’Donnell and Dr. Reiter to travel Hangzhou to meet with leaders of Zhejiang Provincial People’s Hospital. The leaders included Dr. Huang Dongsheng, President, Dr. Enyan Yu, Chief Doctor and Vice President and Dr. Wang Zhifei, Director of Cooperation International Department. The focus of this meeting was on the training, education and research needs of the province psychiatric hospitals and mental health centers. The leaders are very interested in exploring education opportunities with the College of Health Solutions and potential research collaboration on treatment outcomes. Dr. O’Donnell accepted an offer to be the keynote speaker for the upcoming regional conference on mental health in October.
Dr. O’Donnell and Dr. Reiter then traveled to Guangzhou and met with Geng Qingshan, MD, EMBA, Chief Physician and Secretary of the Party from the Guangdong Academy of Medical Sciences and Guangdong General Hospital. Dr. O’Donnell made a presentation on the Patient-Centered Medical Home (PCMH) model with an emphasis on the Accountable Care Organization and payment reform for primary care services in the United States. Dr.Geng Qingshan is very interested in establishing a pilot program based on the PCMH model in a community health center and establishing research collaboration on outcomes. Follow-up discussions on these topics are planned.
Follow the link below for examples of papers or publication on healthcare in China. This section highlights both professional publications as well as papers by Chinese students studying healthcare.