Integration of behavioral medicine in primary care.
Integration of behavioral medicine in primary care.
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将行为医学纳入初级保健。
DOI：
10.1016/j.pop.2012.08.003
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发表时间：
2012
期刊：
影响因子：
1.9
通讯作者：
Shoptaw,Steven
中科院分区：
文献类型：
--
作者：
Bholat,MichelleAnne;Ray,Lara;Brensilver,Matthew;Ling,Kimberly;Shoptaw,Steven
Incorporating behavioral medicine in the delivery of care offers a wide range of opportunities to implement sustainable changes in the health care system. Within primary care settings, pain disorders, addiction, depression, and anxiety disorders are highly prevalent. In addition, numerous chronic health conditions require behavioral support for lifestyle change. These disorders are optimally managed through interdisciplinary collaborations that include a behavioral medicine component. Extant models of behavioral medicine in primary care settings have lacked the qualities of truly integrative, interdisciplinary collaborations.The current health care system is broken and there are many incentives to identify ways to implement and to sustain changes for physicians, for clinics and hospitals, for patients, and for payers. Employers and employees are paying more for health care coverage than ever and are getting fewer covered services. Co-pays and annual deductibles are high, leading many patients to postpone or to default on preventive and routine health care. Primary care patients increasingly display high levels of complexity in terms of both medical and psychological conditions. In California, the breadth of services offered by primary care physicians has also increased, whereas payments for those services have stayed the same or decreased. Patients who are uninsured and who use emergency department services for problems most efficiently treated in primary care settings default on huge bills, creating costs that ultimately are passed on to patients with health coverage in the form of continually rising costs for health care. These changes are happening while primary care clinics increasingly manage patients with chronic diseases. 1
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