Sanchez Katherine
School of Social Work, The University of Texas at Arlington, Arlington; Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Patient Prefer Adherence. 2017 Jan 5;11:71-74. doi: 10.2147/PPA.S120070. eCollection 2017.
Patient-centered care and self-management of chronic disease are optimally characterized by distinct adjunct services such as education, and support for the behavioral and psychosocial elements of managing disease. The collaborative care model for the treatment of depression and anxiety in primary care includes the integration of a behavioral health specialist, in collaboration with the primary care provider, and psychiatric consultation to effectively screen and treat common mental health problems. Dissemination and sustainability of the model have encountered numerous barriers across systems of care. This article represents a discussion of the key barriers to collaborative care and offers a discussion of opportunities for dissemination and sustainability of the model.
以患者为中心的医疗服务和慢性病的自我管理，其最佳特征是有诸如教育等独特的辅助服务，以及对疾病管理中行为和心理社会因素的支持。初级保健中治疗抑郁症和焦虑症的协作护理模式包括行为健康专家与初级保健提供者合作，并进行精神科会诊，以有效筛查和治疗常见的心理健康问题。该模式的推广和可持续性在整个医疗系统中遇到了众多障碍。本文讨论了协作护理的关键障碍，并探讨了该模式的推广和可持续性机会。
