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服务提供方的临近程度:将行为健康和初级保健集中设置以及组建一支综合的服务团队的前景。

Proximity of providers: Colocating behavioral health and primary care and the prospects for an integrated workforce.

机构信息

Department of Family Medicine, University of Colorado Denver School of Medicine.

Robert Graham Center.

出版信息

Am Psychol. 2014 May-Jun;69(4):443-51. doi: 10.1037/a0036093.

Abstract

Integrated behavioral health and primary care is emerging as a superior means by which to address the needs of the whole person, but we know neither the extent nor the distribution of integration. Using the Centers for Medicare and Medicaid Services' National Plan and Provider Enumeration System (NPPES) Downloadable File, this study reports where colocation exists for (a) primary care providers and any behavioral health provider and (b) primary care providers and psychologists specifically. The NPPES database offers new insights into where opportunities are limited for integration due to workforce shortages or nonproximity of providers and where possibilities exist for colocation, a prerequisite for integration.

摘要

综合性的行为健康与初级保健正逐渐成为满足整个人群需求的卓越手段,但我们既不知道整合的程度,也不知道整合的分布情况。本研究利用医疗保险和医疗补助服务中心(Centers for Medicare and Medicaid Services)的国家计划和供应商登记系统(National Plan and Provider Enumeration System,NPPES)可下载文件,报告了(a)初级保健提供者和任何行为健康提供者以及(b)初级保健提供者和心理学家的具体所在地。NPPES 数据库提供了新的见解,说明由于劳动力短缺或提供者之间的不接近,整合机会受到限制的地方,以及存在共同定位可能性的地方,共同定位是整合的前提。

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