Eisenman David P, Stein Bradley D, Tanielian Terri L, Pincus Harold Alan
Division of General Internal Medicine and Health Services Research, Department of Medicine, UCLA, Los Angeles, CA, USA.
J Gen Intern Med. 2005 Aug;20(8):772-6. doi: 10.1111/j.1525-1497.2005.0192.x.
This paper examines primary care physicians' (PCP) roles in helping the nation prepare for, respond to, and recover from the psychologic consequences of chemical, biologic, radiologic, or nuclear (CBRN) terrorism. First, we discuss the psychologic consequences of a CBRN attack and PCPs' roles in responding to these consequences. Second, we analyze these roles in light of the known barriers to delivering high-quality, primary care-based, mental health care. Third, we offer recommendations for mitigating these barriers and preparing PCPs to respond to the psychosocial consequences of a CBRN weapon. Importantly, our recommendations provide dual-use benefits to PCPs faced with the daily concerns of primary care mental health, including improved linkages and electronic connectivity with mental health, information technology, and decision support for providers, and needed education and research.
本文探讨了初级保健医生（PCP）在帮助国家为应对化学、生物、放射或核（CBRN）恐怖主义的心理后果做准备、做出应对以及从中恢复方面所发挥的作用。首先，我们讨论了CBRN袭击的心理后果以及初级保健医生在应对这些后果中所起的作用。其次，我们根据提供高质量的、基于初级保健的心理健康护理所面临的已知障碍来分析这些作用。第三，我们提出减轻这些障碍的建议，并使初级保健医生做好应对CBRN武器心理社会后果的准备。重要的是，我们的建议为面临初级保健心理健康日常问题的初级保健医生带来了双重效益，包括改善与心理健康、信息技术的联系和电子连接，为提供者提供决策支持，以及开展必要的教育和研究。
