University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Division of Gastroenterology and Hepatology, Department of Medicine, University of Michigan School of Medicine, Ann Arbor, Michigan.
Clin Gastroenterol Hepatol. 2017 Jul;15(7):986-997. doi: 10.1016/j.cgh.2017.02.037. Epub 2017 Mar 12.
Patients with chronic medically complex disorders like inflammatory bowel diseases (BD) often have mental health and psychosocial comorbid conditions. There is growing recognition that factors other than disease pathophysiology impact patients' health and wellbeing. Provision of care that encompasses medical care plus psychosocial, environmental and behavioral interventions to improve health has been termed "whole person care" and may result in achieving highest health value. There now are multiple methods to survey patients and stratify their psychosocial, mental health and environmental risk. Such survey methods are applicable to all types of IBD programs including those at academic medical centers, independent health systems and those based within independent community practice. Once a practice determines that a patient has psychosocial needs, a variety of resources are available for referral or co-management as outlined in this paper. Included in this white paper are examples of psychosocial care that is integrated into IBD practices plus innovative methods that provide remote patient management.
患有慢性医学复杂疾病（如炎症性肠病）的患者通常存在心理健康和心理社会共病情况。人们越来越认识到，影响患者健康和福祉的因素不仅仅是疾病的病理生理学。提供涵盖医疗保健以及心理社会、环境和行为干预措施以改善健康的护理被称为“全人护理”，可能会实现最高的健康价值。现在有多种方法可以调查患者并对其心理社会、心理健康和环境风险进行分层。这些调查方法适用于所有类型的 IBD 项目，包括学术医疗中心、独立医疗系统和基于独立社区实践的项目。一旦实践确定患者存在心理社会需求，就可以根据本文所述，提供各种资源进行转介或共同管理。本文包括将心理社会护理融入 IBD 实践的示例以及提供远程患者管理的创新方法。
