Azrin Susan T
Psychiatr Serv. 2014 Apr 1;65(4):406-9. doi: 10.1176/appi.ps.201300537.
Patients with multiple psychiatric and medical comorbidities are common in primary care practices (PCPs), and recent health care reforms will likely lead to an increase in their numbers. PCPs need flexible, integrated mental health-primary care interventions that are applicable to these complex patients and compatible with the PCP setting. Generating practice-ready solutions for rapid uptake in typical PCPs requires a new direction for mental health-primary care research. This column describes an approach that embraces both real-world relevance and methodological rigor to stimulate such research. The approach emphasizes generating knowledge that decision makers need, using practice-based evidence and efficient methods, and planning for sustainability and broad uptake from the outset.
患有多种精神疾病和躯体疾病共病的患者在基层医疗实践（PCP）中很常见，近期的医疗改革可能会导致这类患者数量增加。基层医疗医生需要灵活、综合的精神卫生-基层医疗干预措施，这些措施适用于这些复杂的患者，并与基层医疗环境相兼容。为在典型的基层医疗实践中迅速采用而生成切实可行的解决方案，需要精神卫生-基层医疗研究的新方向。本专栏介绍了一种兼顾现实相关性和方法严谨性的方法，以推动此类研究。该方法强调生成决策者所需的知识，利用基于实践的证据和高效方法，并从一开始就规划可持续性和广泛采用。
