Moak G S
Department of Psychiatry, University of Massachusetts School of Medicine, Concord, USA.
Psychiatr Clin North Am. 2000 Jun;23(2):437-50. doi: 10.1016/s0193-953x(05)70170-2.
A wide gap exists in the American health care system between what we know good geriatric mental health care services should look like and the types of services generally available. Cost effective treatment requires a continuum of care in which geriatric psychiatry and primary care geriatric services are integrated in an aggressively case managed model. MCOs have the infrastructure and tools at their disposal to make this work, but they must incorporate into their programs and approaches expert knowledge of the unique clinical problems of the frail elderly.
在美国医疗保健系统中，我们所知道的优质老年心理健康护理服务应有的样子与普遍提供的服务类型之间存在巨大差距。具有成本效益的治疗需要连续的护理，在这种护理中，老年精神病学和初级保健老年服务应整合到积极的病例管理模式中。管理式医疗组织拥有可用的基础设施和工具来实现这一目标，但它们必须将体弱老年人独特临床问题的专业知识纳入其计划和方法中。
