Kathol Roger G, Melek Steve, Bair Byron, Sargent Susan
Department of Medicine, University of Minnesota Medical School, 420 Delaware Street SE, MMC 194, Suite 14-106 Phillips-Wangensteen Building, Minneapolis, MN 55455, USA.
Psychiatr Clin North Am. 2008 Mar;31(1):11-25. doi: 10.1016/j.psc.2007.11.001.
After sharing several case examples of health care for patients who have mental health/substance use disorders (MH/SUDs) in the current health care environment, this article describes the advantages that would occur if assessment and treatment of MH/SUDs became a clinical, administrative, and financial part of physical health with common provider networks, the ability to combine service locations (integrated clinics and inpatient units), similar coding and billing procedures, and a single funding pool. Because transition to such a system is complicated, the article then describes several process changes that would be required for integrated service delivery to take place.
在分享了当前医疗环境下为患有精神健康/物质使用障碍(MH/SUDs)患者提供医疗服务的几个案例后,本文描述了如果将MH/SUDs的评估和治疗纳入身体健康的临床、行政和财务范畴,采用共同的医疗服务提供者网络、合并服务地点(综合诊所和住院单元)、统一编码和计费程序以及单一资金池,将会带来的优势。由于向这样一个系统过渡很复杂,本文接着描述了实现综合服务提供所需的几个流程变化。