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新冠疫情对整合式医疗实践的影响:来自一线的经验教训。

How COVID-19 has impacted integrated care practice: lessons from the frontlines.

作者信息

Cooper Zachary, Zerden Lisa De Saxe

机构信息

Behavioral Health Department, Christ Community Health Services, Augusta, Georgia, USA.

School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, USA.

出版信息

Soc Work Health Care. 2021;60(2):146-156. doi: 10.1080/00981389.2021.1904316. Epub 2021 Mar 20.

DOI:10.1080/00981389.2021.1904316
PMID:33749534
Abstract

Primary care systems are a mainstay for how many Americans seek health and behavioral health care. It is estimated that almost a quarter of behavioral health conditions are diagnosed and/or treated in primary care. Many clinics treat the whole person through integrated models of care such as the Primary Care Behavioral Health (PCBH) model. COVID-19 has disrupted integrated care delivery and traditional PCBH workflows requiring swift adaptations. This paper synthesizes how COVID-19 has impacted clinical services at one federally qualified health center and describes how care has continued despite the challenges experienced by frontline behavioral health providers.

摘要

初级保健系统是许多美国人寻求医疗和行为健康护理的主要途径。据估计,近四分之一的行为健康状况在初级保健中得到诊断和/或治疗。许多诊所通过综合护理模式,如初级保健行为健康(PCBH)模式,对患者进行全面治疗。COVID-19扰乱了综合护理服务和传统的PCBH工作流程,需要迅速做出调整。本文综合阐述了COVID-19对一家联邦合格健康中心临床服务的影响,并描述了尽管一线行为健康提供者面临诸多挑战,但护理工作仍在继续的情况。

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