The Pediatric Patient-Centered Medical Home: Innovative Models for Improving Behavioral Health
The Pediatric Patient-Centered Medical Home: Innovative Models for Improving Behavioral Health
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DOI：
10.1037/a0040411
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发表时间：
2017-01-01
影响因子：
16.4
通讯作者：
Kazak, Anne E.
中科院分区：
文献类型：
--
作者：
Asarnow, Joan Rosenbaum;Kolko, David J.;Kazak, Anne E.
本文探讨了以患者为中心的医疗之家（PCMH）的概念，因为它适用于儿童和青少年，强调护理行为健康状况，心理学和心理科学的作用，以及为儿科PCMH开发循证模型的下一步。儿科人群的PCMH概念为心理科学提供了独特的机会，以告知和加强美国医疗保健系统的转型，并改善我们国家的健康状况。关于儿科人群实施PCMH的结果的现有证据是有限的，强调需要进行额外的研究来评估儿科PCMH模型和概念。虽然行为健康最近才被强调为PCMH的正式组成部分，但越来越多的证据支持通过儿科初级保健提供行为健康护理的一些方法的有效性。这些方法表明，一个全面的儿科PCMH模型，包括行为健康护理有可能优化行为健康服务的可用性，质量，效益和成本效益。这最终可以增强青少年的健康和行为健康，其影响可能会持续到成年。需要严格的研究和示范项目来指导进一步制定改善儿科人群健康和行为健康的最佳策略，并促进行为卫生保健服务对公共卫生的影响。
This article examines the concept of the Patient Centered Medical Home (PCMH) as it applies to children and adolescents, emphasizing care for behavioral health conditions, the role of psychology and psychological science, and next steps for developing evidence-informed models for the Pediatric PCMH. The PCMH concept for pediatric populations offers unique opportunities for psychological science to inform and enhance the transformation of the United States health care system and improve health in our nation. Available evidence on the outcomes of PCMH implementation for pediatric populations is limited, underscoring the need for additional research evaluating Pediatric-PCMH models and concepts. While behavioral health has only recently been emphasized as a formal part of the PCMH, accumulating evidence supports the effectiveness of some approaches for providing behavioral health care through pediatric primary care. These approaches suggest that a comprehensive Pediatric-PCMH model that includes behavioral health care has the potential to optimize the availability, quality, benefits, and cost-effectiveness of behavioral health services. This could ultimately enhance youth health and behavioral health, with effects potentially extending through the adult years. Rigorous research and demonstration projects are needed to guide further development of optimal strategies for improving health and behavioral health in pediatric populations and advancing the public health impact of behavioral health care services.