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综合性行为健康治疗:实现人群影响的创新。

Integrated behavioral health treatments: innovations to achieve population impact.

机构信息

Department of Bioethics and Humanities, University of Washington, Seattle, WA, USA.

Department of Population Health Sciences, Weill Cornell Medical College, New York, NY, USA.

出版信息

Transl Behav Med. 2020 Aug 7;10(3):520-526. doi: 10.1093/tbm/ibaa059.

Abstract

Translational Behavioral Medicine is a journal that brings together relevant scholars and practitioners to produce articles of scientific and practical significance in a variety of fields. Here, we published a call for manuscripts detailing the study of innovations in the field of implementation of integrated care in the USA. We present 13 articles, all peer reviewed and all targeting some aspect of integrated care implementation. These articles include medical and community-based settings, as well as interventions that effectively engage peers, family members, and other social systems to support and extend care. The behavioral health conditions of interest include but were not limited to those that carry the greatest population disease burdens: depression, posttraumatic stress disorder, bipolar disorder, anxiety disorders, and substance abuse disorders. Examples of cross-cutting issues of high interest include research focused on provider and system barriers to integrated care implementation, interventions to improve the use of innovative treatments, disparities in access to care and quality of treatment, the intersection of behavioral health disorders and complex chronic conditions as it affects regimen adherence, health services organization and quality of care, policy effects, innovative methods using health information and mHealth technologies, and personalized/precision medicine. This introduction briefly summarizes some of the relevant topics and background literature. We close with an eye toward future research activities that will continue to advance the field and offer directions to stimulate new research questions in the area.

摘要

转化行为医学是一本汇集相关学者和从业者的期刊,旨在在多个领域产生具有科学和实践意义的文章。在这里,我们发表了一篇征稿启事,详细介绍了美国综合护理实施领域创新的研究。我们呈现了 13 篇经过同行评审的文章,这些文章都针对综合护理实施的某些方面。这些文章包括医疗和社区环境,以及有效吸引同伴、家庭成员和其他社会系统来支持和扩展护理的干预措施。感兴趣的行为健康状况包括但不限于那些对人群疾病负担最大的状况:抑郁症、创伤后应激障碍、双相情感障碍、焦虑症和物质滥用障碍。高关注度的交叉问题的例子包括专注于提供者和系统障碍的综合护理实施的研究,改善创新治疗使用的干预措施,获得护理和治疗质量的差异,行为健康障碍和复杂慢性疾病的交叉影响,以及对治疗方案的坚持,医疗服务组织和护理质量,政策影响,使用健康信息和移动医疗技术的创新方法,以及个性化/精准医疗。这篇介绍简要总结了一些相关主题和背景文献。我们最后展望未来的研究活动,这些活动将继续推动该领域的发展,并为该领域提出新的研究问题提供方向。

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