Abouljoud Marwan, Ryan Michael, Eshelman Anne, Bryce Kelly, Jesse Michelle T
Transplant Institute, Henry Ford Health System, Detroit, MI, 48202, USA.
Division of Transplant and Hepatobiliary Surgery, Department of Surgery, Henry Ford Health System, Detroit, MI, 48202, USA.
J Clin Psychol Med Settings. 2018 Sep;25(3):267-277. doi: 10.1007/s10880-017-9532-9.
Integration of health psychologists into specialty care is a shift in the tertiary care construct that addresses all aspects of a patient's presentation, including psychiatric/social history, psychological well-being, and behavioral contributions to the disease process, assuring both optimal health outcomes and cost-effectiveness in a financially challenging healthcare environment. In this paper, we discuss leadership perspectives (physician and psychologists) on the factors involved in integrating a health psychologist into a busy tertiary care environment. Ultimately, we hope that this information provides a primer on how to frame a proposal for an integrated health psychologist emphasizing the elements important to senior medical leadership and administration. First, we briefly discuss the current payer framework, providing support for integration emphasizing costs and other metrics. Second, we introduce organizational structure models and strategies for integration. Lastly, we will discuss the unique skillset psychologists possess, and additional skills necessary, to be effective in the changing landscape of healthcare. We think this information is important both for leaders attempting to integrate a health psychologist into specialty care and for the early career health psychologist embarking on his/her first senior staff position.
将健康心理学家纳入专科护理是三级护理结构的一种转变，它涉及患者表现的各个方面，包括精神/社会病史、心理健康状况以及行为对疾病过程的影响，在充满财务挑战的医疗环境中确保实现最佳健康结果和成本效益。在本文中，我们讨论了（医生和心理学家的）领导观点，涉及将健康心理学家纳入繁忙的三级护理环境所涉及的因素。最终，我们希望这些信息能为如何制定一份关于整合健康心理学家的提案提供一个基础，强调对高级医疗领导和管理重要的要素。首先，我们简要讨论当前的支付方框架，为强调成本和其他指标的整合提供支持。其次，我们介绍组织结构模型和整合策略。最后，我们将讨论心理学家所具备的独特技能组合，以及在不断变化的医疗环境中有效工作所需的其他技能。我们认为这些信息对于试图将健康心理学家纳入专科护理的领导者以及初入职场、担任首个高级职员职位的健康心理学家都很重要。
