Office of Health Care Financing, American Psychological Association.
Department of Psychology, University of Texas San Antonio.
Am Psychol. 2017 Nov;72(8):822-836. doi: 10.1037/amp0000192.
Powerful forces have shaped professional psychology over the past 25 years, including significant changes in health policy and health care delivery systems. Examples include managed care cost containment, rapid growth of nondoctoral mental health providers, federal mental health parity legislation, and passage of the Affordable Care Act of 2010, with its emphasis on primary care-behavioral health integration and alternatives to fee-for-service reimbursement. This article considers these factors for psychology as a mental health profession and as a health profession more broadly defined, and describes the American Psychological Association's advocacy about the value of psychology in each domain. While challenging to psychology's traditional models of care, these changes offer significant promise for the future of psychology in health care. (PsycINFO Database Record
在过去的 25 年中,强大的力量塑造了专业心理学,包括医疗政策和医疗保健提供系统的重大变化。其中包括管理式医疗成本控制、非医师心理健康提供者的快速增长、联邦心理健康平等立法,以及 2010 年《平价医疗法案》的通过,该法案强调初级保健-行为健康整合和按服务收费报销的替代方案。本文考虑了这些因素对心理学作为一种心理健康专业以及更广泛意义上的健康专业的影响,并描述了美国心理协会在每个领域对心理学价值的倡导。虽然对心理学的传统护理模式具有挑战性,但这些变化为心理学在医疗保健领域的未来提供了巨大的希望。