Department of Behavioral Science and Social Medicine.
Department of Medicine, Indiana University School of Medicine.
Am Psychol. 2016 Oct;71(7):628-637. doi: 10.1037/a0040439.
Although the biomedical model has dominated U.S. health care for more than a century, it has failed to adequately address current U.S. health care challenges, including the treatment and prevention of chronic disease; the epidemic rise in diabetes is one important example. In response, newer models of health care have been developed that address patients' mental and physical health concerns by multidisciplinary care teams that place the patient and family in the center of shared decision making. These new models of care offer many important opportunities for psychologists to play a larger role in the prevention and treatment of diabetes. However, for psychology's role to be fully realized, both external and internal challenges must be addressed. This will require psychologists to become more interdisciplinary, more familiar with the larger health care culture, more willing to expand their skill sets, and more collaborative with other health disciplines both from a patient-care and a larger advocacy perspective. (PsycINFO Database Record
尽管生物医学模式在美国医疗保健领域已经主导了一个多世纪,但它未能充分应对当前美国医疗保健面临的挑战,包括慢性病的治疗和预防;糖尿病的流行是一个重要的例子。为此,已经开发出更新的医疗保健模式,通过多学科护理团队来解决患者的身心健康问题,将患者和家庭置于共同决策的中心。这些新的护理模式为心理学家在糖尿病的预防和治疗中发挥更大作用提供了许多重要机会。然而,要充分发挥心理学的作用,必须解决内部和外部的挑战。这将要求心理学家变得更加跨学科,更熟悉更大的医疗保健文化,更愿意扩大他们的技能范围,并与其他健康学科更密切地合作,从患者护理和更广泛的宣传角度来看。