Golden Angela, Miller Kenneth
American Association of Nurse Practitioners.
Fam Syst Health. 2014 Jun;32(2):139-40. doi: 10.1037/fsh0000046.
Nurse practitioners have long included high-quality behavioral health in the care they provide to individuals and families nationwide. Just as the principles of the medical home have been an integral part of nurse practitioners' practice, so has the concept of whole person orientation incorporating both physical and mental or behavioral health care. It is therefore encouraging that organized medicine has embraced integrated physical and behavioral health care in patient-centered medical homes, a position that could help improve the wellbeing of patients all throughout the United States. Although the American Association of Nurse Practitioners (AANP) has long supported such integration, we do not support the physician-centric joint principles included in the current issue of Annals of Family Medicine (The Working Party Group on Integrated Behavioral Healthcare et al., 2014), as they create provider and leadership roles that are too narrow and restrictive for the provision of health care in the 21st century. As written, they limit access to high-quality care and restrict patient choice of health care providers.
长期以来，执业护士在为全国的个人和家庭提供护理服务时，一直将高质量的行为健康纳入其中。正如医疗之家的原则一直是执业护士执业的一个组成部分一样，将身体和心理或行为健康护理相结合的全人导向概念也是如此。因此，有组织的医学在以患者为中心的医疗之家中接受综合的身体和行为健康护理，这一立场有助于改善全美国患者的福祉，这是令人鼓舞的。尽管美国执业护士协会（AANP）长期以来一直支持这种整合，但我们不支持《家庭医学年鉴》本期所载的以医生为中心的联合原则（综合行为医疗保健工作小组等，2014年），因为这些原则所创造的提供者和领导角色对于21世纪的医疗保健提供来说过于狭隘和受限。照目前的写法，它们限制了获得高质量护理的机会，并限制了患者对医疗保健提供者的选择。
