Mini Review of Integrated Care and Implications for Advanced Practice Nurse Role.
Mini Review of Integrated Care and Implications for Advanced Practice Nurse Role.
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DOI：
10.2174/187443460160101078
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Perraud S
中科院分区：
文献类型：
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作者：
McIntosh D;Startsman LF;Perraud S
与初级保健和行为健康整合倡议相关的文献越来越多。美国2010年《病人保护和负担得起的医疗法案》包括一些条款，鼓励在公共部门加强对有行为和身体健康服务需求的个人的护理合作。相对而言，很少有人知道高级执业注册护士（APRNs）在整合初级和行为医疗保健方面的作用。这篇综述文章的目的是：(a)定义身体和行为保健的整合和潜在的模型；(b)回答关于将行为健康与初级保健结合起来的有效循证模式/战略是什么；(c)探索APRNs在整合身体和行为保健方面的未来作用和创新。以证据为基础的文献仅限于3个系统综述和6个随机对照试验。很难概括这些数据，有效的整合策略从护理管理到使用舍曲林到抑郁症管理和获取等干预措施各不相同。然而，综合护理高级实践护士的角色包括能力、领导、参与、合作和倡导。
Literature related to primary care and behavioral health integration initiatives is becoming abundant. The United States’ 2010 Patient Protection and Affordable Care Act included provisions encouraging increased collaboration of care for individuals with behavioral and physical health service needs in the public sector. There is relatively little known of Advanced Practice Registered Nurses’ (APRNs) roles with integrating primary and behavioral healthcare. The goal of this review article is to: (a) define integration of physical and behavioral healthcare and potential models; (b) answer the question as to what are effective evidence based models/strategies for integrating behavioral health and primary care; (c) explore the future role and innovations of APRNs in the integration of physical and behavioral healthcare. The evidence- based literature is limited to three systematic reviews and six randomized controlled trials. It was difficult to generalize the data and the effective integration strategies varied from such interventions as care management to use of sertraline to depression management and to access. There were, though, implications for the integrated care advanced practice nurse to have roles inclusive of competencies, leadership, engagement, collaboration and advocacy.