Carrillo J E, de la Cancela V
William F. Ryan Health Center, New York, NY 10025.
J Natl Med Assoc. 1992 Jun;84(6):513-9.
Latinos who present for health services often suffer from a complex interaction of medical and mental health needs, requiring a multifaceted intervention. An essential element of this multilevel approach is cultural and linguistic sensitivity on the part of health providers. New, innovative models of health service organization are needed to address the unique needs of the Latino population. Some of the key characteristics these models need to focus on include interagency collaboration rather than competition for resources, interdisciplinary teams of primary-care providers that also involve other nonmedical professional members, centralized case coordination and decentralized service delivery, flexibility and adaptability to changing priorities, continuity of care for all patients, and mutual support among providers to minimize the effects of stress and burnout.
前来寻求医疗服务的拉丁裔往往面临医疗需求和心理健康需求的复杂交织，这需要多方面的干预措施。这种多层次方法的一个关键要素是医疗服务提供者具备文化和语言敏感性。需要新的、创新的医疗服务组织模式来满足拉丁裔人群的独特需求。这些模式需要关注的一些关键特征包括机构间协作而非资源竞争、由初级保健提供者组成的跨学科团队（其中还包括其他非医学专业成员）、集中的病例协调和分散的服务提供、对不断变化的优先事项的灵活性和适应性、为所有患者提供持续护理，以及提供者之间的相互支持以尽量减少压力和倦怠的影响。
