Psychology in Patient-Centered Medical Homes: Reducing Health Disparities and Promoting Health Equity
Psychology in Patient-Centered Medical Homes: Reducing Health Disparities and Promoting Health Equity
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DOI：
10.1037/a0040358
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发表时间：
2017-01-01
影响因子：
16.4
通讯作者：
Kaslow, Nadine J.
中科院分区：
文献类型：
--
作者：
Farber, Eugene W.;Ali, Mana K.;Kaslow, Nadine J.
由于持续存在的健康差距对社会上被剥夺权利和医疗服务不足的人口的健康和福祉造成了不成比例的影响，新兴的以病人为中心的医疗之家（PCMH）模式有望弥合健康差距。由于行为保健是PCMH的重要组成部分，心理学家有很大的机会为PCMH服务的发展和实施做出贡献，这些服务主要服务于医疗服务不足的社区。在本文中，简要定义了PCMH模型及其在医疗服务不足人群的临床环境中的作用，这些人群存在健康差异，心理学家作为PCMH医疗团队的跨专业合作者的角色进行了探讨。接下来，将心理学家定位为行为健康专家，为医疗服务不足的群体的PCMH护理团队做出贡献的能力星座。文章最后反思了心理学家作为医疗团队成员为减少健康差异和促进在PCMH服务的患者的健康公平做出切实贡献的前景。
With persisting health disparities contributing to a disproportionate impact on the health and well-being of socially disenfranchised and medically underserved populations, the emerging patient-centered medical home (PCMH) model offers promise in bridging the health disparities divide. Because behavioral health care is an important component of the PCMH, psychologists have significant opportunity to contribute to the development and implementation of PCMH services in settings that primarily serve medically underserved communities. In this article, after briefly defining the PCMH model and its role in clinical settings for medically underserved populations for whom health disparities are present, roles of psychologists as interprofessional collaborators on PCMH medical care teams are explored. Next, the constellation of competencies that position psychologists as behavioral health specialists to contribute to PCMH care teams for medically underserved groups are characterized. The article concludes with reflections on the prospects for psychologists to make tangible contributions as health care team members toward reducing health disparities and promoting health equity in patients served in the PCMH.