Department of Psychiatry and Behavioral Sciences, Emory University.
Department of Physical Medicine and Rehabilitation, Johns Hopkins University.
Am Psychol. 2017 Jan;72(1):28-41. doi: 10.1037/a0040358.
With persisting health disparities contributing to a disproportionate impact on the health and well-being of socially disenfranchised and medically underserved populations, the emerging patient-centered medical home (PCMH) model offers promise in bridging the health disparities divide. Because behavioral health care is an important component of the PCMH, psychologists have significant opportunity to contribute to the development and implementation of PCMH services in settings that primarily serve medically underserved communities. In this article, after briefly defining the PCMH model and its role in clinical settings for medically underserved populations for whom health disparities are present, roles of psychologists as interprofessional collaborators on PCMH medical care teams are explored. Next, the constellation of competencies that position psychologists as behavioral health specialists to contribute to PCMH care teams for medically underserved groups are characterized. The article concludes with reflections on the prospects for psychologists to make tangible contributions as health care team members toward reducing health disparities and promoting health equity in patients served in the PCMH. (PsycINFO Database Record
由于持续存在的健康不平等现象对社会弱势群体和医疗服务不足人群的健康和福祉造成了不成比例的影响，新兴的以患者为中心的医疗之家（PCMH）模式有望弥合健康不平等的鸿沟。由于行为健康护理是 PCMH 的一个重要组成部分，因此心理学家有很大的机会为主要为医疗服务不足的社区服务的环境中 PCMH 服务的发展和实施做出贡献。在本文中，简要定义了 PCMH 模型及其在存在健康不平等现象的医疗服务不足人群的临床环境中的作用之后，探讨了心理学家作为 PCMH 医疗保健团队的跨专业合作者的角色。接下来，描述了使心理学家作为行为健康专家为医疗服务不足群体的 PCMH 护理团队做出贡献的一系列能力。本文最后反思了心理学家作为医疗保健团队成员在减少 PCMH 服务患者的健康不平等和促进健康公平方面做出切实贡献的前景。
