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科罗拉多综合行为健康增强项目(CIBH+):在初级保健的全科方法中整合行为健康。

Colorado integrated behavioral health plus (CIBH+): aligning behavioral health within a generalist approach to primary care.

作者信息

Shore Jay H, Waugh Maryann, Levey Shandra Brown, Calderone Jacqueline, Lyon Corey, Holtrop Jodi Summers, Gritz R Mark, Owen Vanessa, McWilliams Shannon K, deGruy Frank

机构信息

Department of Psychiatry, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.

Department of Family Medicine, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.

出版信息

Front Psychol. 2025 Apr 23;16:1523369. doi: 10.3389/fpsyg.2025.1523369. eCollection 2025.

Abstract

As healthcare costs and physician burnout in the U.S. escalate, and the acuity and prevalence of behavioral health issues hit historical highs, it is critically important that we continue to evolve care approaches that can deliver good health and well-being at the population level. Colorado Integrated Behavioral Health Plus (CIBH+) uses a whole-person health perspective, aligning psychologists, primary care physicians, and other specialists, within a generalist approach to primary care. Here, we document our local experience in services delivery, including the rationale for the CIBH+ approach, key implementation elements, and the ability to mitigate population, patient, and provider challenge by building upon existing clinically-and cost-effective models of integrated care. With this description, we hope to spark optimism, enthusiasm, and ongoing innovation in other multidisciplinary care teams seeking ways to improve patient and provider experience.

摘要

随着美国医疗成本上升和医生职业倦怠加剧,以及行为健康问题的严重程度和患病率达到历史新高,我们继续改进能够在人群层面实现良好健康和福祉的护理方法至关重要。科罗拉多综合行为健康增强项目(CIBH+)采用全人健康视角,在初级保健的通科方法框架内,整合心理学家、初级保健医生和其他专科医生。在此,我们记录我们在服务提供方面的本地经验,包括CIBH+方法的基本原理、关键实施要素,以及通过基于现有的具有临床和成本效益的综合护理模式来缓解人群、患者和提供者面临的挑战的能力。通过这一描述,我们希望激发其他多学科护理团队的乐观情绪、热情和持续创新,这些团队正在寻求改善患者和提供者体验的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d163/12055795/56e87bd37d07/fpsyg-16-1523369-g001.jpg

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