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精神医学在整合照护时代的演变实践。

The Evolving Practice of Psychiatry in the Era of Integrated Care.

机构信息

Department of Psychiatry, Cambridge Health Alliance, Harvard Medical School, Cambridge, MA.

Department of Psychiatry, Cambridge Health Alliance, Harvard Medical School, Cambridge, MA.

出版信息

Psychosomatics. 2017 Sep-Oct;58(5):466-473. doi: 10.1016/j.psym.2017.04.003. Epub 2017 Apr 13.

Abstract

BACKGROUND

Integrating behavioral health care into the primary care setting is increasingly recognized as an effective way to manage mental illness and substance use disorders on a population level in the United States. The term "integrated care," however, is used in many ways and encompasses several different models.

OBJECTIVES

The aim of this article is to provide a conceptual framework to understand the landscape of models of integrated care and to use this framework to contrast the roles of behavioral health providers in integrated settings with those in traditional behavioral health delivery models. We will also review some of the advantages and limitations of integrated care for health care delivery systems, patients, and primary care providers.

摘要

背景

在美国,将行为健康护理融入初级保健环境已逐渐被视为一种管理精神疾病和物质使用障碍的有效方法。然而,“整合护理”一词有多种用法,包含几种不同的模式。

目的

本文旨在提供一个概念框架,以了解整合护理模式的全貌,并利用该框架对比行为健康提供者在整合环境中的角色与传统行为健康提供模式中的角色。我们还将回顾整合护理对医疗保健系统、患者和初级保健提供者的一些优势和局限性。

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