Psychology Can Be Indispensable to Health Care Reform and the Patient-Centered Medical Home

被引:18
作者
Runyan, Christine N. [1 ]
机构
[1] Univ Massachusetts, Sch Med, Dept Family Med & Community Hlth, Hahnemann Family Hlth Ctr, Worcester, MA 01605 USA
关键词
integrated primary care; patient-centered medical home; health care reform; psychology training; COLLABORATIVE CARE; MENTAL-HEALTH; COST OFFSET; DEPRESSION; PREVALENCE; DISORDERS; SEVERITY; ADULTS; METAANALYSIS; COMORBIDITY;
D O I
10.1037/a0023454
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The Patient Protection and Affordable Care Act (PPACA) was passed into legislation in March 2010, making health care reform a reality. Perhaps the most well-developed model of primary care that aligns with the PPACA's agenda is the patient-centered medical home (PCMH). Integrated care, as defined by collaborative care between mental health and primary care providers and systems, will undoubtedly play a critical role in the success of the PCMH. The role of psychology and integrated care in the PCMH as well as training implications for psychologists are discussed. This article is intended to challenge our discipline to embrace psychology as a health care profession that must prepare for and solidify its added value in the health care delivery models of the future. Requisite skill sets for primary care psychologists and existing training opportunities are presented. Finally, possible mechanisms for training psychologists in integrated care and the professional roles primary care psychologists can expect to fill are proposed.
引用
收藏
页码:53 / 68
页数:16
相关论文
共 48 条
[1]  
*AM MED ASS, 2006, HLTH CAR TRENDS ENV
[2]   The prevalence of comorbid depression in adults with diabetes - A meta-analysis [J].
Anderson, RJ ;
Freedland, KE ;
Clouse, RE ;
Lustman, PJ .
DIABETES CARE, 2001, 24 (06) :1069-1078
[3]  
[Anonymous], AHRQ PUB
[4]  
[Anonymous], 1999, MENT HLTH CULT RAC E
[5]  
[Anonymous], CONN BOD MIND RES GU
[6]  
[Anonymous], 2008, Treatment of common hip fractures. Evidence report/technology assessment no. 184 (prepared by the Minnesota evidence-based practice center under contract no. HHSA 290 2007 10064 1)
[7]  
[Anonymous], 2006, IMP COLL PRIM CAR ME
[8]  
[Anonymous], 2008, GLOB BURD DIS STUD 2
[9]   Medicare spending, the physician workforce, and beneficiaries' quality of care [J].
Baicker, K ;
Chandra, A .
HEALTH AFFAIRS, 2004, 23 (03) :W4184-W4197
[10]  
*BEH HLTH CENTR, 2010, HLTH CAR REF COULD E