Bergmark R E, Dell P, Attridge M, Parker M
United HealthCare Corporation, Minnetonka, MN, USA.
Manag Care Q. 1996 Winter;4(1):36-42.
This article critiques the current health care system and presents a new conceptual model that offers the potential for an integrated health care system in the future. Health care currently consists of parallel care systems based on the competing conceptual frameworks of the medical model and the psychosocial model. It is argued that psychosocial factors must be included in an integrated system. Research literature is reviewed that documents the need for, the therapeutic effectiveness of, and the medical cost-offset benefits of mental and behavioral health interventions. The Health and Human Risk Management Model is described and illustrated with a case example as well as research outcomes from its implementation at United HealthCare Corporation.
本文对当前的医疗保健系统进行了批判，并提出了一个新的概念模型，该模型为未来的综合医疗保健系统提供了潜力。当前的医疗保健由基于医学模式和心理社会模式这两种相互竞争的概念框架的并行护理系统组成。有人认为，心理社会因素必须纳入综合系统。本文回顾了研究文献，这些文献记录了心理和行为健康干预的必要性、治疗效果以及医疗成本抵消效益。文中描述了健康与人类风险管理模型，并通过一个案例以及联合健康保险公司实施该模型的研究结果进行了说明。
