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协作护理：复杂医学-精神疾病患者的治疗模式。

Collaborative care: models for treatment of patients with complex medical-psychiatric conditions.

作者信息

Ivbijaro Gabriel O, Enum Yaccub, Khan Anwar Ali, Lam Simon Sai-Kei, Gabzdyl Andrei

机构信息

NOVA University, Lisbon, Portugal,

出版信息

Curr Psychiatry Rep. 2014 Nov;16(11):506. doi: 10.1007/s11920-014-0506-4.

DOI:10.1007/s11920-014-0506-4
PMID:25218604
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4163191/
Abstract

Patients with co-morbidity and multi-morbidity have worse outcomes and greater healthcare needs. Co-morbid depression and other long-term conditions present health services with challenges in delivering effective care for patients. We provide some recent evidence from the literature to support the need for collaborative care, illustrated by practical examples of how to deliver a collaborative/integrated care continuum by presenting data collected between 2011 and 2012 from a London Borough clinical improvement programme that compared co-morbid diagnosis of depression and other long-term conditions and Accident and Emergency use. We have provided some practical steps for developing collaborative care within primary care and suggest that primary care family practices should adopt closer collaboration with other services in order to improve clinical outcomes and cost-effectiveness.

摘要

患有合并症和多种合并症的患者预后较差，医疗保健需求更大。合并症性抑郁症和其他长期病症给医疗服务机构在为患者提供有效护理方面带来了挑战。我们提供了一些近期文献证据来支持协作护理的必要性，并通过实际例子加以说明，这些例子展示了如何通过呈现2011年至2012年期间从伦敦自治市临床改善项目收集的数据来提供协作/综合护理连续体，该项目比较了抑郁症和其他长期病症的合并诊断以及急诊使用情况。我们还提供了在初级保健中发展协作护理的一些实际步骤，并建议初级保健家庭医疗实践应与其他服务机构开展更紧密的合作，以改善临床结果和成本效益。

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