National Integrated Care Coordinator, Office of Mental Health Operations, VA Central Office, 5441 Babcock Road, Suite 300, San Antonio, TX 78240 USA.
Transl Behav Med. 2011 Dec;1(4):624-8. doi: 10.1007/s13142-011-0093-4.
The patient-centered medical home, which is termed the Patient Aligned Care Team (PACT) in the Department of Veterans Affairs (VA), is a transformational initiative with mental and behavioral health as integral components. Funding has been provided to VA medical facilities to assist with the transformation and process redesign of primary care into interdisciplinary teams focused on increased access, Veteran-centered care, and active incorporation of collaborative expertise from specialists within primary care. Primary care clinics are not simple machines that change by merely replacing parts or colocating additional resources. Rather, they are complex systems with a relationship infrastructure among members of the team that is critically important to the change process. Mental health professionals are integral, mandated members of the PACTs providing needed mental and behavioral health care to Veterans as an integrated component of primary care. They also work to catalyze a quality improvement process that encourages collaboration, innovation, and adoption of best practices that promote transformation based on patient-centered principles of care. The purpose of this article is to describe the evolution of VA primary care settings toward interdisciplinary teams that provide patient-centered care in collaboration with Primary Care-Mental Health Integration providers and Health Promotion Disease Prevention team members.
以患者为中心的医疗之家，在退伍军人事务部（VA）中被称为患者一致护理团队（PACT），是一项具有变革性的倡议，将精神和行为健康作为其不可或缺的组成部分。已经为 VA 医疗设施提供了资金，以帮助将初级保健转变为跨学科团队，并专注于增加获得服务的机会、以患者为中心的护理以及积极纳入初级保健专家的协作专业知识。初级保健诊所并不是简单的机器，只需更换部件或增设额外资源就能改变。相反，它们是具有团队成员之间关系基础设施的复杂系统，这对于变革过程至关重要。心理健康专业人员是 PACT 的不可或缺的授权成员，为退伍军人提供必要的精神和行为健康护理，作为初级保健的综合组成部分。他们还努力促进质量改进过程，鼓励合作、创新和采用最佳实践，以基于以患者为中心的护理原则来推动变革。本文的目的是描述 VA 初级保健环境向跨学科团队的演变，这些团队与初级保健-心理健康整合提供者以及健康促进疾病预防团队成员合作提供以患者为中心的护理。
