Landoll Ryan R, Maggio Lauren A, Cervero Ronald M, Quinlan Jeffrey D
Uniformed Services University, Bethesda, USA.
J Clin Psychol Med Settings. 2019 Sep;26(3):243-258. doi: 10.1007/s10880-018-9582-7.
Primary care behavioral health (PCBH) is a model of integrated healthcare service delivery that has been well established in the field of psychology and continues to grow. PCBH has been associated with positive patient satisfaction and health outcomes, reduced healthcare expenditures, and improved population health. However, much of the education and training on PCBH has focused on developing behavioral health providers to practice in this medical setting. Less attention has been paid to physician team members to support and practice within an integrated environment. This is problematic as underdeveloped physician team members may contribute to low utilization and attrition of behavioral health consultants. A scoping review was conducted to examine the training of physicians in this domain since 2006. Twenty-one studies were identified, predominantly in Family Medicine training programs. Although PCBH training was generally well received, more program evaluation, formalized curriculum, and faculty development are needed to establish best practices.
基层医疗行为健康(PCBH)是一种综合医疗服务提供模式,在心理学领域已得到充分确立且仍在不断发展。PCBH与患者的积极满意度和健康结果、降低医疗保健支出以及改善人群健康状况相关联。然而,PCBH的大部分教育和培训都集中在培养行为健康提供者以在这种医疗环境中执业。对于在综合环境中提供支持和开展实践的医师团队成员关注较少。这存在问题,因为医师团队成员发展不足可能导致行为健康顾问的低利用率和人员流失。自2006年以来进行了一项范围审查,以检查该领域医师的培训情况。共确定了21项研究,主要来自家庭医学培训项目。尽管PCBH培训总体上受到好评,但仍需要更多的项目评估、正式课程和师资发展来确立最佳实践。