Mauer Barbara J, Druss Benjamin G
MCPP Healthcare Consulting, Seattle, WA, USA.
J Behav Health Serv Res. 2010 Oct;37(4):529-42. doi: 10.1007/s11414-009-9176-0. Epub 2009 Apr 2.
This paper reviews current models, research, and approaches to improving care on the primary care/behavioral health interface in the USA. We focus on care in the public sector where high rates of comorbidity, regulatory burdens, and lack of resources create particular challenges to collaboration and coordination. To achieve the goals of improved coordination and collaboration, it will be critical to address key financing, workforce, information technology, performance assessment, and research issues. It will also be critical to engage multiple stakeholders including consumers, mental health and health providers, and policymakers and public sector funders.
本文回顾了美国当前在改善初级保健/行为健康接口方面的护理模式、研究和方法。我们关注公共部门的护理，在那里，高合并症率、监管负担和资源匮乏给协作与协调带来了特殊挑战。为实现改善协调与协作的目标，解决关键的融资、劳动力、信息技术、绩效评估和研究问题至关重要。让包括消费者、心理健康和医疗服务提供者、政策制定者以及公共部门资助者在内的多个利益相关者参与进来也至关重要。
