Levy-Carrick Nomi C, Lewis-OʼConnor Annie, Rittenberg Eve, Manosalvas Kiara, Stoklosa Hanni M, Silbersweig David A
Division of Medical Psychiatry (Dr Levy-Carrick), Department of Psychiatry (Dr Silbersweig); Division of Women's Health (Dr Lewis-O'Connor and Ms Manosalvas), Department of Medicine (Dr Rittenberg); and Department of Emergency Medicine (Dr Stoklosa), Brigham and Women's Hospital, Boston, Massachusetts; Departments of Psychiatry (Drs Levy-Carrick and Silbersweig) and Medicine (Drs Lewis-O'Connor and Stoklosa), Harvard Medical School, Boston, Massachusetts; and Mary Horrigan Connors Center for Women's Health & Gender Biology, Boston, Massachusetts (Dr Stoklosa).
Fam Community Health. 2019 Apr/Jun;42(2):104-108. doi: 10.1097/FCH.0000000000000214.
Trauma-informed care has emerged as an important model to address the pervasiveness of traumatic experiences across the life cycle and their association with significant adverse medical and psychiatric consequences. To achieve health equity, in which all people have the opportunity for health, it is crucial for physicians to become comfortable with a neurobiopsychosocial understanding of trauma and how to provide optimal trauma-informed care. Given the pervasiveness of trauma exposure, and its impact on individual and community health, this paradigm shift in adult health care delivery systems requires physician engagement at every stage of development and implementation.
创伤知情护理已成为一种重要模式，以应对创伤经历在整个生命周期中的普遍性及其与重大不良医学和精神后果的关联。为实现健康公平，即所有人都有获得健康的机会，医生熟悉对创伤的神经生物心理社会理解以及如何提供最佳的创伤知情护理至关重要。鉴于创伤暴露的普遍性及其对个人和社区健康的影响，成人医疗保健提供系统中的这种范式转变需要医生在发展和实施的每个阶段都积极参与。
