Kaiser Permanente, Women's Health, 1650 Response Road, Sacramento, CA 95815, USA.
Obstet Gynecol Clin North Am. 2019 Sep;46(3):469-483. doi: 10.1016/j.ogc.2019.04.006. Epub 2019 Jul 2.
Integrated care with mental health clinicians embedded in medical departments remains rare despite evidence of the need and effectiveness of such a model. Comprehensive, efficacious, and meaningful health care requires adequate attention be paid to the physiologic and the psychological symptoms of the patient. In the obstetrics/gynecology setting, myriad psychosocial concerns routinely present and cannot be adequately addressed in the current systems of care. The need is there, providers and patients have shown preference for such a structure, and the outcomes are promising. This article outlines common patient concerns in such settings and discusses possible interventions.
尽管有证据表明这种模式的必要性和有效性，但精神科临床医生融入医疗部门的综合护理仍然很少见。全面、有效和有意义的医疗保健需要充分关注患者的生理和心理症状。在妇产科环境中，经常出现无数的社会心理问题，而目前的护理系统无法充分解决这些问题。需求存在，提供者和患者都对这种结构表现出偏好，而且结果很有希望。本文概述了此类环境中常见的患者关注点，并讨论了可能的干预措施。
