Integrated Care for Complicated Patients: A Role for Combined Training and Practice

被引：3
作者：
-Welty, Gregg A. Robbins [1 ,2 ,3 ]
Gagliardi, Jane P. [1 ,2 ]
机构：
[1] Duke Univ Med Ctr, Dept Psychiat & Behav Sci, Durham, NC USA
[2] Duke Univ Med Ctr, Depart ment Med, Durham, NC USA
[3] Duke Univ Hosp, Combined Internal Med & Psychiat Residency Program, Box 3837, 2301 Erwin Rd, Durham, NC 27710 USA
来源：
AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY | 2023年 / 31卷 / 03期
关键词：
Integrated care; collaborative care; medicine; -psychiatry; comorbid illness; inpatient care; healthcare delivery models; MENTAL-HEALTH-SERVICES; UNITED-STATES; MEDICINE-PSYCHIATRY; DEPRESSION CARE; OLDER-ADULTS; PHYSICIANS; ILLNESS; ACCESS; PERCEPTIONS; COMPLEXITY;
D O I：
10.1016/j.jagp.2022.10.008
中图分类号：
R592 [老年病学]; C [社会科学总论];
学科分类号：
03 ; 0303 ; 100203 ;
摘要：
Patients with chronic medical disease frequently have comorbid psychiatric ill-ness, yet mental and physical healthcare is frequently siloed in the United States. Integrated behavioral healthcare models, such as medicine-psychiatry services, are feasible, improve patient outcomes, and reduce costs. The Duke University Hospital medicine-psychiatry service provides holistic patient care and serves as a model for those interested in developing combined services or training programs elsewhere. Combined residency training in psychiatry is a way to provide a workforce of physician-scientist educators adept at providing coordinated, integrated care for complex patients with comorbid illness. (Am J Geriatr Psychiatry 2023; 31:222-231)
引用
收藏
页码：222 / 231
页数：10
相关论文
共 47 条
  • [1] Accreditation Council for Graduate Medical Education (ACGME), PUBLIC
  • [2] American Board of Psychiatry and Neurology, About us
  • [3] American Board of Psychiatry and Neurology, COMB PROGR ALT PATHW
  • [4] Anderson C., 2012, Healthcare Finance
  • [5] assocmedpsych, ABOUT US
  • [6] Improving the system of care for older adults with mental illness in the United States - Findings and recommendations for the president's new freedom commission on mental health
    Bartels, SJ
    [J]. AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY, 2003, 11 (05) : 486 - 497
  • [7] Diabetes, depression, and death
    Bogner, Hillary R.
    Morales, Knashawn H.
    Post, Edward P.
    Bruce, Martha L.
    [J]. DIABETES CARE, 2007, 30 (12) : 3005 - 3010
  • [8] Bradford DW, 2008, PSYCHIAT SERV, V59, P847, DOI 10.1176/ps.2008.59.8.847
  • [9] Reducing suicidal ideation and depressive symptoms in depressed older primary care patients - A randomized controlled trial
    Bruce, ML
    Ten Have, TR
    Reynolds, CF
    Katz, II
    Schulberg, HC
    Mulsant, BH
    Brown, GK
    McAvay, GJ
    Pearson, JL
    Alexopoulos, GS
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2004, 291 (09): : 1081 - 1091
  • [10] Combined Residency Programs in Psychiatry
    Camp, Mary E.
    Gagliardi, Jane P.
    Jacobson, Sansea L.
    Benjamin, Sheldon
    [J]. ACADEMIC PSYCHIATRY, 2022, 46 (03) : 369 - 374
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