Department of Family and Community Medicine, University of California.
Department of Family Medicine, University of Colorado Health Sciences Center.
Am Psychol. 2014 May-Jun;69(4):355-63. doi: 10.1037/a0036101.
The rapid transformation of primary care in the United States provides an opportunity for psychologists to become actively involved as integrated members of primary care teams in the provision of services for adults with chronic disease. The differences between primary care clinicians and psychologists with respect to education, culture, practice styles, reimbursement, and roles, however, pose notable barriers to effective integration. In this report we review models of collaboration, barriers to effective integration of services, and potential areas in which psychologists can make major contributions both to direct service delivery and to primary care practice, with special reference to the care of adults with chronic conditions.
美国初级保健的快速转型为心理学家提供了一个机会，使他们能够作为初级保健团队的综合成员积极参与为慢性疾病成人提供服务。然而，初级保健临床医生和心理学家在教育、文化、实践风格、报销和角色方面的差异，对有效整合构成了显著障碍。在本报告中，我们回顾了合作模式、服务有效整合的障碍，以及心理学家可以在哪些方面为直接服务提供和初级保健实践做出重大贡献的潜在领域，特别提到了对慢性疾病成人的护理。
