Susman Jeffrey L
Department of Family Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Prim Care Companion J Clin Psychiatry. 2010;12(Suppl 1):30-4. doi: 10.4088/PCC.9064su1c.05.
A treatment gap exists between the efficacious treatments available for patients with bipolar disorder and the usual care these patients receive. This article reviews the evolution of the collaborative care treatment model, which was designed to address treatment gaps in chronic medical care, and discusses the efficacy of this model when applied to improving outcomes for patients with bipolar disorder in the primary care setting. Key elements of collaborative care include the use of evidence-based treatment guidelines, patient psychoeducation, collaborative decision-making with patients and with other physicians, and supportive technology to facilitate monitoring and follow-up of patient outcomes. Integrating psychiatric and medical health care can assist in achieving the goal of bipolar disorder treatment, which is full functional recovery for patients.
双相情感障碍患者可获得的有效治疗方法与他们所接受的常规护理之间存在治疗差距。本文回顾了协作护理治疗模式的演变，该模式旨在解决慢性医疗护理中的治疗差距，并讨论了该模式应用于改善初级护理环境中双相情感障碍患者预后的疗效。协作护理的关键要素包括使用循证治疗指南、患者心理教育、与患者及其他医生共同决策，以及利用支持性技术促进对患者预后的监测和随访。整合精神科和医疗保健有助于实现双相情感障碍的治疗目标，即让患者实现完全功能康复。
