Mauksch Larry B, Fogarty Colleen T
University of Washington School of Medicine.
Department of Family Medicine, University of Rochester School of Medicine.
Fam Syst Health. 2014 Jun;32(2):135-6. doi: 10.1037/fsh0000057.
This editorial presents a brief historical overview of emerging knowledge since the 1970s that led to the birth of a new discipline, Family Practice (now Family Medicine). Family Medicine residencies were required to include training on mental health, family dynamics, communication skills, and other behavioral science topics. The next two decades witnessed an explosion of clinical research. High users of general medical services were found to have a two- to threefold higher prevalence of mental illness. These patients consumed disproportionate amounts of health care dollars, suggesting that cost containment may require mental health treatment. Over the last 30 years researchers have demonstrated that combining biomedical and psychosocial expertise in collaborative treatment models produces better outcomes for patients with mental illness, with physical illness, and for the majority who have a complicated mixture of biopsychosocial ailments. The advent of collaboration between disciplines and the integration of service designs is something to celebrate. In this issue of Families, Systems and Health, representatives of eight organizations, spanning behavioral health, nursing, medicine, and interdisciplinary practice, all endorse behavioral health integration in the health home. (PsycINFO Database Record (c) 2014 APA, all rights reserved).
这篇社论简要回顾了自20世纪70年代以来新知识的发展历程，这些知识催生了一门新学科——家庭医疗（现称家庭医学）。家庭医学住院医师培训要求涵盖心理健康、家庭动态、沟通技巧及其他行为科学主题。在接下来的二十年里，临床研究蓬勃发展。研究发现，普通医疗服务的高使用人群患精神疾病的患病率要高出两到三倍。这些患者消耗了不成比例的医疗费用，这表明控制成本可能需要进行心理健康治疗。在过去30年里，研究人员证明，在协作治疗模式中结合生物医学和心理社会专业知识，对于患有精神疾病、身体疾病以及患有复杂生物心理社会疾病的大多数患者而言，能产生更好的治疗效果。学科间合作的出现以及服务设计的整合值得庆贺。在本期《家庭、系统与健康》中，来自行为健康、护理、医学及跨学科实践等八个组织的代表，均支持在健康之家进行行为健康整合。（PsycINFO数据库记录（c）2014美国心理学会，保留所有权利）
