Nemours Center for Healthcare Delivery Science, Nemours Children's Health System.
Departments of Family Medicine and Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University.
Am Psychol. 2017 Jan;72(1):1-12. doi: 10.1037/a0040382.
The patient-centered medical home (PCMH) is an increasingly common model of health care delivery with many exciting opportunities for psychologists. The PCMH reflects a philosophy and model of care that is highly consistent with psychological science and practice. It strives to provide patient-centered, comprehensive, team-based, coordinated, accessible, and quality and safety-oriented health care delivery to individuals and families. Moreoever, in keeping with changes in the health care system more broadly, the PCMH model prioritizes the integration of behavioral and physical health care, and this emphasis lays the foundation for active and full engagement of psychologists in this context. This article provides an overview of the PCMH and the evidence and roles for psychologists across a range of pediatric, adult, and geriatric health care populations and settings. Current challenges to the necessary expansion of psychology in the PCMH are discussed, with particular attention to the needs for training and advocacy to support the contributions of behavioral health care in the PCMH. Psychology must embrace its rightful place as a health profession and appreciate and highlight the ways in which psychologists can play unique and critical roles in transforming present and future health care delivery models. (PsycINFO Database Record
患者为中心的医疗之家（PCMH）是一种越来越常见的医疗服务模式，为心理学家提供了许多令人兴奋的机会。PCMH 反映了一种高度符合心理科学和实践的理念和护理模式。它努力为个人和家庭提供以患者为中心、全面、团队合作、协调、便捷以及注重质量和安全的医疗服务。此外，为了适应更广泛的医疗保健系统的变化，PCMH 模式优先考虑将行为和身体健康护理整合在一起，这一重点为心理学家在这种情况下的积极和充分参与奠定了基础。本文概述了 PCMH 以及心理学家在一系列儿科、成人和老年医疗保健人群和环境中的证据和作用。讨论了当前 PCMH 中扩大心理学所需的挑战，特别关注培训和宣传的需求，以支持 PCMH 中的行为健康护理的贡献。心理学必须承认自己作为健康专业的合法地位，并认识和强调心理学家在改变当前和未来医疗服务模式方面可以发挥独特和关键作用的方式。
