Kessler Rodger, Stafford Dale, Messier Randall
Department of Family Medicine and Center for Translational Science, University of Vermont College of Medicine, Berlin Family Health, Fletcher Allen Health Care, Burlington, VT 05401, USA.
J Clin Psychol Med Settings. 2009 Mar;16(1):4-12. doi: 10.1007/s10880-009-9146-y. Epub 2009 Feb 15.
Psychology and other behavioral health professions have amassed a broad empirical and clinical literature suggesting many medical presentations are best responded to with the addition of evidence based behavioral interventions. Despite this, psychology has not achieved a regular presence as part of medical practice. We suggest specific reasons for the current state of affairs including clinical, operational, societal labels, financial and training dimensions. Medical, psychological, administrative, and financial perspectives are reviewed. If the goals of health care system reform are to be reached then we must identify and challenge the current limitations of health care. This paper will identify the elements that need to be changed in order for psychology to be integrated into medicine rather than excluded from its policy, planning and operations.
心理学及其他行为健康专业领域积累了大量的实证和临床文献，表明许多医疗状况若辅以循证行为干预措施，会得到最佳应对。尽管如此，心理学尚未成为医疗实践的常规组成部分。我们提出了造成当前这种状况的具体原因，包括临床、操作、社会标签、财务和培训等方面。本文审视了医学、心理学、行政和财务等视角。若要实现医疗体系改革的目标，我们就必须识别并挑战当前医疗保健的局限性。本文将确定为使心理学融入医学而非被排除在其政策、规划和运营之外而需要改变的要素。
