Funderburk Jennifer S, Gass Julie, Shepardson Robyn L, Mitzel Luke D, Buckheit Katherine A
Veterans Affairs Center for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, NY, United States.
Department of Psychology, Syracuse University, Syracuse, NY, United States.
Front Psychiatry. 2021 Sep 16;12:693729. doi: 10.3389/fpsyt.2021.693729. eCollection 2021.
Even with the expansion of primary care teams to include behavioral health and other providers from a range of disciplines, providers are regularly challenged to deliver care that adequately addresses the complex array of biopsychosocial factors underlying the patient's presenting concern. The limits of expertise, the ever-changing shifts in evidence-based practices, and the difficulties of interprofessional teamwork contribute to the challenge. In this article, we discuss the opportunity to leverage the interprofessional team-based care activities within integrated primary care settings as interactive educational opportunities to build competencies in biopsychosocial care among primary care team members. We argue that this approach to learning while providing direct patient care not only facilitates new provider knowledge and skills, but also provides a venue to enhance team processes that are key to delivering integrated biopsychosocial care to patients. We provide three case examples of how to utilize strategic planning within specific team-based care activities common in integrated primary care settings-shared medical appointments, conjoint appointments, and team huddles-to facilitate educational objectives.
即使基层医疗团队有所扩充,纳入了行为健康专家及其他来自不同学科的医疗服务提供者,但这些提供者在提供能充分解决患者当前问题背后复杂的生物心理社会因素的医疗服务时,仍经常面临挑战。专业知识的局限、循证实践中不断变化的趋势以及跨专业团队合作的困难都加剧了这一挑战。在本文中,我们探讨了利用综合基层医疗环境中基于跨专业团队的护理活动作为互动式教育机会,以培养基层医疗团队成员在生物心理社会护理方面能力的可能性。我们认为,这种在提供直接患者护理的同时进行学习的方法,不仅能促进新的医疗服务提供者知识和技能的提升,还能提供一个平台来强化团队协作过程,而这对于为患者提供综合生物心理社会护理至关重要。我们提供了三个案例,展示了如何在综合基层医疗环境中常见的特定基于团队的护理活动(共享医疗预约、联合预约和团队碰头会)中运用战略规划来促进教育目标的实现。