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协作式心理健康照护:叙事性评论。

Collaborative mental health care: A narrative review.

机构信息

University of California, Irvine, Irvine, CA.

Veterans Affairs Long Beach Healthcare System, Long Beach, CA.

出版信息

Medicine (Baltimore). 2022 Dec 30;101(52):e32554. doi: 10.1097/MD.0000000000032554.

Abstract

The Collaborative Care model is a systematic strategy for treating behavioral health conditions in primary care through the integration of care managers and psychiatric consultants. Several randomized controlled trials have demonstrated that Collaborative Care increases access to mental health care and is more effective and cost efficient than the current standard of care for treating common mental illnesses. Large healthcare systems and organizations have begun to adopt Collaborative Care initiatives and are seeing improved treatment outcomes and provider and patient satisfaction. This review discusses current research on the effectiveness and cost-efficiency of Collaborative Care. In addition, this paper discusses its ability to adapt to specific patient populations, such as geriatrics, students, substance use, and women with perinatal depression, as well as the significance of measurement-based care and mental health screening in achieving improved clinical outcomes. Current data suggests that Collaborative Care may significantly improve patient outcomes and time-to-treatment in all reviewed settings, and successfully adapts to special patient populations. Despite the high upfront implementation burden of launching a Collaborative Care model program, these costs are generally offset by long term healthcare savings.

摘要

协作式护理模式是一种通过护理经理和精神科顾问整合来为初级保健中的行为健康状况提供治疗的系统性策略。几项随机对照试验表明,协作式护理增加了获得心理健康护理的机会,并且在治疗常见精神疾病方面比当前的护理标准更有效且更具成本效益。大型医疗保健系统和组织已经开始采用协作式护理计划,并看到了改善的治疗效果以及提供者和患者的满意度。这篇综述讨论了协作式护理的有效性和成本效益的当前研究。此外,本文还讨论了它对特定患者群体(如老年人、学生、物质使用和围产期抑郁症的女性)的适应性,以及基于测量的护理和心理健康筛查在实现改善的临床结果方面的重要性。目前的数据表明,协作式护理可能会在所有审查的环境中显著改善患者的治疗效果和治疗时间,并成功适应特殊的患者群体。尽管推出协作式护理模式计划的前期实施负担很高,但这些成本通常会被长期医疗保健节省所抵消。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8ed/9803502/9a60046754dd/medi-101-e32554-g001.jpg

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