David Geffen School of Medicine, Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles.
Department of Special Services, Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine.
Am Psychol. 2017 Jan;72(1):13-27. doi: 10.1037/a0040411.
This article examines the concept of the Patient-Centered Medical Home (PCMH) as it applies to children and adolescents, emphasizing care for behavioral health conditions, the role of psychology and psychological science, and next steps for developing evidence-informed models for the Pediatric-PCMH. The PCMH concept for pediatric populations offers unique opportunities for psychological science to inform and enhance the transformation of the United States health care system and improve health in our nation. Available evidence on the outcomes of PCMH implementation for pediatric populations is limited, underscoring the need for additional research evaluating Pediatric-PCMH models and concepts. While behavioral health has only recently been emphasized as a formal part of the PCMH, accumulating evidence supports the effectiveness of some approaches for providing behavioral health care through pediatric primary care. These approaches suggest that a comprehensive Pediatric-PCMH model that includes behavioral health care has the potential to optimize the availability, quality, benefits, and cost-effectiveness of behavioral health services. This could ultimately enhance youth health and behavioral health, with effects potentially extending through the adult years. Rigorous research and demonstration projects are needed to guide further development of optimal strategies for improving health and behavioral health in pediatric populations and advancing the public health impact of behavioral health care services. (PsycINFO Database Record
本文探讨了患者为中心的医疗之家（PCMH）概念在儿童和青少年中的应用，强调了对行为健康状况的护理、心理学和心理科学的作用，以及为发展有证据支持的儿科-PCMH 模型而采取的下一步措施。PCMH 概念为儿科人群提供了独特的机会，使心理科学能够为美国医疗保健系统的转型提供信息，并改善我们国家的健康。关于 PCMH 在儿科人群中的实施结果的现有证据有限，这突出表明需要进行更多的研究来评估儿科-PCMH 模型和概念。虽然行为健康最近才被强调为 PCMH 的正式组成部分，但越来越多的证据支持通过儿科初级保健提供行为保健的一些方法的有效性。这些方法表明，一个包含行为保健的综合儿科-PCMH 模型有可能优化行为保健服务的可及性、质量、效益和成本效益。这最终可能会改善青年健康和行为健康，其影响可能会延伸到成年期。需要进行严格的研究和示范项目，以指导进一步制定改善儿科人群健康和行为健康的最佳策略，并提高行为保健服务对公共卫生的影响。
