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[初级保健中的心理治疗视频咨询——PROVIDE干预概念及心理治疗师采用意向的结果]

[Psychotherapeutic Video Consultations in Primary Care - Concept of the PROVIDE Intervention and Results on the Intent to Adopt in Psychotherapists].

作者信息

Haun Markus W, Tönnies Justus, Oeljeklaus Lydia, Hoffmann Mariell, Wensing Michel, Szecsenyi Joachim, Friederich Hans-Christoph, Hartmann Mechthild

机构信息

Klinik für Allgemeine Innere Medizin und Psychosomatik, Universität Heidelberg.

Abteilung Allgemeinmedizin und Versorgungsforschung, Universität Heidelberg.

出版信息

Psychother Psychosom Med Psychol. 2019 Oct;69(11):471-474. doi: 10.1055/a-0948-5494. Epub 2019 Jul 17.

Abstract

Mental health conditions represent a significant burden to the individual as well as the society. Within the health care system, the general practitioner is the first and, in most cases, the only provider. Timely referral of patients to specialized care is often difficult due to several barriers, particularly in rural areas. These barriers comprise long waiting times, the rising prevalence of psychosomatic and somatopsychic comorbidity, immobility in the elderly and stigmatisation related to mental health conditions. Following the Integrated Health Care approach, diagnosis and therapy of mental health conditions by psychotherapists directly within the general practice constitute an effective care model. We present a care model that is based on a telemental treatment approach for depression and anxiety disorders. Central is the piloting of psychotherapeutic video consultations in the general practice. The following article provides an overview of the care model and provides results concerning the intent to adopt the model in office-based psychotherapists.

摘要

心理健康状况给个人和社会都带来了沉重负担。在医疗保健系统中,全科医生是首要的,而且在大多数情况下是唯一的提供者。由于多种障碍,尤其是在农村地区,及时将患者转诊至专科护理往往很困难。这些障碍包括长时间等待、心身和身心共病的患病率不断上升、老年人行动不便以及与心理健康状况相关的污名化。遵循综合医疗保健方法,心理治疗师在全科医疗中直接进行心理健康状况的诊断和治疗构成了一种有效的护理模式。我们提出一种基于远程心理治疗方法治疗抑郁症和焦虑症的护理模式。核心是在全科医疗中试点心理治疗视频咨询。以下文章概述了该护理模式,并提供了关于在门诊心理治疗师中采用该模式的意向结果。

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