Schapiro Naomi A, Brindis Claire D
J Pediatr Health Care. 2025 Mar-Apr;39(2):303-307. doi: 10.1016/j.pedhc.2024.11.018. Epub 2025 Jan 3.
Behavioral and mental health (BMH) issues are increasing in adolescents as shortages of primary care and BMH providers are also rising. The healthcare burden has fallen especially hard on primary care providers (PCPs), who are showing increasing signs of burnout and making plans to reduce their work hours or leave the profession altogether. These factors impede their ability to be the first line of defense in providing emotional support to children and families. Current solutions to BMH provider shortages include integrated models for primary and BMH health care and child psychiatric consultation services for PCPs. However, this does not diminish PCP perceptions that they are doing more screening and struggling to offer BMH support, all within shorter visit times. In this paper, we explore potential solutions to increasing time with patients and efficiency of primary care visits, and proposals to increase reimbursement for primary care providers.
随着初级保健和行为与心理健康（BMH）服务提供者短缺情况日益严重，青少年的行为和心理健康问题也在不断增加。医疗保健负担对初级保健提供者（PCP）的影响尤为严重，他们出现职业倦怠的迹象越来越明显，并计划减少工作时间或干脆离开该行业。这些因素阻碍了他们在为儿童和家庭提供情感支持方面发挥第一道防线的作用。当前解决BMH服务提供者短缺的办法包括初级保健与BMH保健的综合模式以及为初级保健提供者提供儿童精神科咨询服务。然而，这并没有改变初级保健提供者的看法，即他们在更短的就诊时间内进行了更多筛查，并难以提供BMH支持。在本文中，我们探讨了增加与患者相处时间和提高初级保健就诊效率的潜在解决方案，以及提高初级保健提供者报销费用的提议。
